| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Hazel |
| State id: | 645018 |
| SO#: | 270941 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Citizen: | UNITED STATES |
| Booking number: | 0308530 |
| Booking date: | Apr 2, 2003 |
| Release date: | Apr 4, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 011918107 |
| Amount: | $2,500 |