| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 487220 |
| SO#: | 269498 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0303363 |
| Booking date: | Feb 5, 2003 |
| Release date: | Feb 5, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,055 |