| Date of birth: | 1945 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 476859 |
| SO#: | 233439 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9828933 |
| Booking date: | Dec 14, 1998 |
| Release date: | Dec 15, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 98-0771 |
| Amount: | $1,050 |