| Date of birth: | 1949 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 198586 |
| SO#: | 115350 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Citizen: | UNITED STATES |
| Booking number: | 0313552 |
| Booking date: | May 28, 2003 |
| Release date: | Jun 2, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $20,200 |