| Date of birth: | 1940 |
| Hair: | Sandy |
| Eyes: | Brown |
| State id: | 115543 |
| SO#: | 58395 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0010390 |
| Booking date: | Apr 24, 2000 |
| Release date: | Jul 20, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 99-11014 |
| Amount: | $1,350 |