| Date of birth: | 1943 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 388854 |
| SO#: | 189937 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Booking number: | 0131493 |
| Booking date: | Dec 30, 2001 |
| Release date: | Jan 18, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 011911060 |
| Amount: | $2,500 |
| Number: | 99-09202 |
| Amount: | $605 |