| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 511161 |
| SO#: | 232574 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9825752 |
| Booking date: | Nov 5, 1998 |
| Release date: | Nov 6, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 981300059 |
| Amount: | $1,005 |