| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 401661 |
| SO#: | 234431 |
| Booked at: | SALT LAKE |
| Cob: | Indiana |
| Booking number: | 9902287 |
| Booking date: | Jan 25, 1999 |
| Release date: | Jan 25, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 95201320 |
| Amount: | $1,560 |