| Date of birth: | 1942 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 129284 |
| SO#: | 69222 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9908970 |
| Booking date: | Apr 9, 1999 |
| Release date: | Apr 15, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | NA |
| Amount: | $15,000 |