| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 260679 |
| SO#: | 143401 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Citizen: | UNITED STATES |
| Booking number: | 0214416 |
| Booking date: | Jun 29, 2002 |
| Release date: | Jun 29, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,625 |