| Date of birth: | 1951 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 00466770 |
| SO#: | 242208 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0226356 |
| Booking date: | Nov 16, 2002 |
| Release date: | Nov 19, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $755 |
| Number: | 20-3040 |
| Amount: | $270 |