| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 276830 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0329938 |
| Booking date: | Dec 1, 2003 |
| Release date: | Dec 1, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 035002717 |
| Amount: | $2,505 |