| Date of birth: | 1941 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 541229 |
| SO#: | 258829 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0222664 |
| Booking date: | Oct 5, 2002 |
| Release date: | Oct 5, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 015912452 |
| Amount: | $2,500 |
| Number: | 901928976 |
| Amount: | $235 |