| Date of birth: | 1937 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 101711 |
| SO#: | 42358 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0029090 |
| Booking date: | Dec 7, 2000 |
| Release date: | Dec 7, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 3515090 |
| Amount: | $120 |
| Number: | 991001227 |
| Amount: | $395 |