| Date of birth: | 1942 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 221652 |
| SO#: | 125806 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0217509 |
| Booking date: | Aug 6, 2002 |
| Release date: | Aug 7, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $755 |