| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 191534 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0228043 |
| Booking date: | Dec 6, 2002 |
| Release date: | Dec 6, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 021700238 |
| Amount: | $5,000 |