| Date of birth: | 1950 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 206496 |
| SO#: | 96879 |
| Booked at: | SALT LAKE |
| Cob: | Maryland |
| Citizen: | UNITED STATES |
| Booking number: | 0327027 |
| Booking date: | Oct 26, 2003 |
| Release date: | Oct 27, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |