| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 408663 |
| SO#: | 230140 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9931119 |
| Booking date: | Dec 19, 1999 |
| Release date: | Dec 29, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 96-0778 |
| Amount: | $1,025 |