| Date of birth: | 1949 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 151999 |
| SO#: | 85337 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0221812 |
| Booking date: | Sep 26, 2002 |
| Release date: | Sep 30, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 02-1206 |