| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 516434 |
| SO#: | 238574 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Booking number: | 9918343 |
| Booking date: | Jul 27, 1999 |
| Release date: | Jul 27, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991914329 |
| Amount: | $2,500 |