| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 264209 |
| SO#: | 185526 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9906383 |
| Booking date: | Mar 12, 1999 |
| Release date: | Mar 12, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 961100065 |
| Number: | 985911771 |
| Amount: | $544 |