| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 129806 |
| SO#: | 69699 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0300770 |
| Booking date: | Jan 9, 2003 |
| Release date: | Jan 9, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 021907998 |
| Amount: | $2,500 |