| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 00177482 |
| SO#: | 99900 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9920832 |
| Booking date: | Aug 24, 1999 |
| Release date: | Aug 25, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 985908342 |
| Amount: | $421 |