| Date of birth: | 1957 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 296643 |
| SO#: | 193609 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9910650 |
| Booking date: | Apr 29, 1999 |
| Release date: | Apr 29, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 981917086 |
| Amount: | $2,500 |