| Date of birth: | 1948 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 205121 |
| SO#: | 165960 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9909293 |
| Booking date: | Apr 13, 1999 |
| Release date: | Apr 13, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 951022457 |
| Amount: | $2,000 |