| Date of birth: | 1952 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 518424 |
| SO#: | 239416 |
| Booked at: | SALT LAKE |
| Booking number: | 9921520 |
| Booking date: | Sep 1, 1999 |
| Release date: | Sep 1, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,051 |
| Number: | 995903909 |
| Amount: | $164 |