| Date of birth: | 1962 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 0432701 |
| SO#: | 205222 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 0422050 |
| Booking date: | Sep 14, 2004 |
| Release date: | Dec 14, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,000 |
| Number: | 021902953 |
| Number: | 011916403 |
| Amount: | $2,500 |
| Number: | 041900253 |
| Amount: | $10,000 |
