| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 520928 |
| SO#: | 242495 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 0001112 |
| Booking date: | Jan 12, 2000 |
| Release date: | Jan 12, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 001900382FS |
| Amount: | $5,000 |