| Date of birth: | 1932 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 261777 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 205258 |
| Booking date: | Mar 12, 2002 |
| Release date: | Mar 12, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $67 |
| Number: | 011400715 |
| Amount: | $2,500 |