| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 00202684 |
| SO#: | 142095 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Booking number: | 9906336 |
| Booking date: | Mar 11, 1999 |
| Release date: | Mar 11, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991905031 |
| Amount: | $15,000 |