| Date of birth: | 1963 |
| Hair: | Sandy |
| Eyes: | Gray |
| SO#: | 284874 |
| Booked at: | SALT LAKE |
| Cob: | Minnesota |
| Citizen: | UNITED STATES |
| Booking number: | 0428235 |
| Booking date: | Nov 30, 2004 |
| Release date: | Dec 1, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 03-03896 |
| Amount: | $560 |
| Number: | 04TR06467 |
| Amount: | $3,500 |
