| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 446432 |
| SO#: | 232780 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Booking number: | 9826528 |
| Booking date: | Nov 15, 1998 |
| Release date: | Nov 15, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,850 |
| Number: | 96502722 |
| Amount: | $110 |