| Date of birth: | 1956 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1032112 |
| SO#: | 274137 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Citizen: | UNITED STATES |
| Booking number: | 0320192 |
| Booking date: | Aug 9, 2003 |
| Release date: | Aug 9, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $622 |
| Number: | 021603509 |
| Amount: | $1,080 |
| Number: | C02-06241 |
| Amount: | $2,500 |