| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 00482394 |
| SO#: | 238948 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Booking number: | 0006991 |
| Booking date: | Mar 15, 2000 |
| Release date: | Mar 15, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 001903639FS |
| Amount: | $25,000 |