| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 496817 |
| SO#: | 109745 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0221164 |
| Booking date: | Sep 19, 2002 |
| Release date: | Sep 19, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,480 |