| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 00152798 |
| SO#: | 234582 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9902899 |
| Booking date: | Feb 1, 1999 |
| Release date: | Feb 2, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 965002863 |
| Amount: | $174 |