| Date of birth: | 1942 |
| Hair: | Blonde |
| Eyes: | Hazel |
| SO#: | 272488 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Citizen: | UNITED STATES |
| Booking number: | 0314254 |
| Booking date: | Jun 5, 2003 |
| Release date: | Jun 5, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031903523 |
| Amount: | $25,000 |