| Date of birth: | 1955 |
| Hair: | Blonde |
| Eyes: | Brown |
| SO#: | 268040 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0228193 |
| Booking date: | Dec 8, 2002 |
| Release date: | Dec 8, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 021400612 |
| Amount: | $5,000 |