| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1029054 |
| SO#: | 273461 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Citizen: | UNITED STATES |
| Booking number: | 0317747 |
| Booking date: | Jul 14, 2003 |
| Release date: | Aug 18, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 011916671 |
| Amount: | $5,000 |
| Number: | 031000637 |
| Amount: | $1,000 |
