| Date of birth: | 1950 |
| Hair: | Blonde |
| Eyes: | Brown |
| State id: | 0187896 |
| SO#: | 110334 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0308436 |
| Booking date: | Apr 1, 2003 |
| Release date: | Apr 1, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | C01-02788 |
| Amount: | $2,500 |