| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 260811 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Citizen: | UNITED STATES |
| Booking number: | 0201746 |
| Booking date: | Jan 22, 2002 |
| Release date: | Jan 22, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 995004415 |
| Amount: | $2,005 |