| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 484316 |
| SO#: | 227805 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9821129 |
| Booking date: | Sep 10, 1998 |
| Release date: | Sep 10, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 98200029 |
| Amount: | $1,505 |