| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0332300 |
| SO#: | 214813 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0228723 |
| Booking date: | Dec 13, 2002 |
| Release date: | Dec 18, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |
| Number: | Y02-0778 |
| Amount: | $260 |