| Date of birth: | 1946 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 515605 |
| SO#: | 237653 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 0116745 |
| Booking date: | Jul 10, 2001 |
| Release date: | Sep 26, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 011910529 |
| Amount: | $10,000 |