| Date of birth: | 1949 |
| Hair: | Blonde |
| Eyes: | Green |
| State id: | 150465 |
| SO#: | 88459 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0324288 |
| Booking date: | Sep 25, 2003 |
| Release date: | Oct 2, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 914903015 |
| Amount: | $20,000 |