| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 148166 |
| SO#: | 228216 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0226507 |
| Booking date: | Nov 18, 2002 |
| Release date: | Nov 18, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 005007401 |
| Amount: | $1,505 |