| Date of birth: | 1948 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 165390 |
| SO#: | 94829 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9931531 |
| Booking date: | Dec 24, 1999 |
| Release date: | Dec 25, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |
| Number: | 991101148 |
| Amount: | $1,000 |