| Date of birth: | 1940 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 164692 |
| Booked at: | SALT LAKE |
| Cob: | Massachusetts |
| Booking number: | 0128078 |
| Booking date: | Nov 16, 2001 |
| Release date: | Nov 29, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 011917729 FS |
| Amount: | $100,000 |