| Date of birth: | 1947 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 304404 |
| SO#: | 185359 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9931799 |
| Booking date: | Dec 28, 1999 |
| Release date: | Dec 28, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991922014 FS |
| Amount: | $5,000 |