| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 512589 |
| SO#: | 234314 |
| Booked at: | SALT LAKE |
| Cob: | District of Columbia |
| Booking number: | 9901854 |
| Booking date: | Jan 20, 1999 |
| Release date: | Jan 21, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | NA |
| Amount: | $1,480 |
