| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0203589 |
| SO#: | 117809 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 0108361 |
| Booking date: | Apr 6, 2001 |
| Release date: | Apr 8, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | Y00-1700 |
| Amount: | $925 |