| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 498256 |
| SO#: | 240509 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9925677 |
| Booking date: | Oct 17, 1999 |
| Release date: | Oct 17, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |
| Number: | 991906059 |
| Amount: | $2,500 |