| Date of birth: | 1949 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 158209 |
| SO#: | 90681 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0222224 |
| Booking date: | Sep 30, 2002 |
| Release date: | Oct 1, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 001909761 |
| Amount: | $2,500 |
| Number: | 991902926 |
| Amount: | $2,500 |