| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 310286 |
| SO#: | 161962 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 9901606 |
| Booking date: | Jan 17, 1999 |
| Release date: | Jan 17, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |
| Number: | 3 2708 91 |
| Amount: | $125 |