| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 607924 |
| SO#: | 239699 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9922570 |
| Booking date: | Sep 12, 1999 |
| Release date: | Oct 8, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991918146 |
| Amount: | $925 |