| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 243187 |
| SO#: | 135609 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9911963 |
| Booking date: | May 14, 1999 |
| Release date: | Sep 29, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 995100105 |
| Amount: | $268 |