| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 122358 |
| SO#: | 63500 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0130921 |
| Booking date: | Dec 21, 2001 |
| Release date: | Dec 21, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 911001994 |
| Amount: | $2,500 |