| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 160730 |
| SO#: | 90955 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0130717 |
| Booking date: | Dec 19, 2001 |
| Release date: | Dec 19, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 011902211FS |
| Amount: | $5,000 |