| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 119647 |
| SO#: | 61438 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Booking number: | 0024319 |
| Booking date: | Oct 10, 2000 |
| Release date: | Oct 18, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 975040598 |
| Amount: | $470 |