| Date of birth: | 1953 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| SO#: | 262713 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Citizen: | UNITED STATES |
| Booking number: | 0208730 |
| Booking date: | Apr 20, 2002 |
| Release date: | Apr 20, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 015009407 |
| Amount: | $1,505 |