| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 238360 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Citizen: | UNITED STATES |
| Booking number: | 0325258 |
| Booking date: | Oct 6, 2003 |
| Release date: | Oct 21, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 001914843 |
| Amount: | $5,000 |