| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 00448743 |
| SO#: | 211906 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 0025009 |
| Booking date: | Oct 18, 2000 |
| Release date: | Oct 18, 2000 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,142 |
| Number: | 001914416 |
| Amount: | $5,000 |