| Date of birth: | 1974 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 612897 |
| SO#: | 277742 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0401018 |
| Booking date: | Jan 13, 2004 |
| Release date: | Jan 13, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 03-04795 |
| Amount: | $370 |
| Number: | 031908809 |
| Amount: | $5,000 |
