| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 309073 |
| SO#: | 162107 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0303941 |
| Booking date: | Feb 11, 2003 |
| Release date: | Feb 11, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 99-00715 |
| Amount: | $1,055 |