| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 520199 |
| SO#: | 241483 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0228374 |
| Booking date: | Dec 10, 2002 |
| Release date: | Jan 17, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 991907459 |
| Amount: | $3,000 |