| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 518014 |
| SO#: | 239690 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Booking number: | 9922527 |
| Booking date: | Sep 11, 1999 |
| Release date: | Sep 11, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991103356 |
| Amount: | $1,500 |