| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 640677 |
| SO#: | 262723 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 0208751 |
| Booking date: | Apr 20, 2002 |
| Release date: | Apr 20, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |