| Date of birth: | 1958 |
| Hair: | Blonde |
| Eyes: | Brown |
| State id: | 00432587 |
| SO#: | 259867 |
| Booked at: | SALT LAKE |
| Cob: | Kentucky |
| Booking number: | 0129663 |
| Booking date: | Dec 5, 2001 |
| Release date: | Dec 10, 2001 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,000 |
| Number: | 011918781 FS |