| Date of birth: | 1930 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 072613 |
| SO#: | 32551 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0123339 |
| Booking date: | Sep 21, 2001 |
| Release date: | Nov 8, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 001904150 |
| Amount: | $5,000 |