| Date of birth: | 1948 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 435233 |
| SO#: | 271570 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Citizen: | UNITED STATES |
| Booking number: | 0310754 |
| Booking date: | Apr 27, 2003 |
| Release date: | May 2, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 951000281 |
| Amount: | $5,000 |