| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0350853 |
| SO#: | 211092 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 0027181 |
| Booking date: | Nov 14, 2000 |
| Release date: | Jan 30, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 99-5501 |
| Amount: | $125 |