| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 181727 |
| SO#: | 101267 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0300629 |
| Booking date: | Jan 7, 2003 |
| Release date: | Apr 23, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |
| Number: | 031900202 |