| Date of birth: | 1947 |
| Hair: | Bald |
| Eyes: | Brown |
| State id: | 470760 |
| SO#: | 219672 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Booking number: | 0104399 |
| Booking date: | Feb 21, 2001 |
| Release date: | Feb 21, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 001913753 |
| Number: | 001914967 |
| Number: | 991916242 |
| Amount: | $124 |