| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 182416 |
| SO#: | 104510 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Citizen: | UNITED STATES |
| Booking number: | 0304682 |
| Booking date: | Feb 19, 2003 |
| Release date: | Feb 19, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031900873 |
| Amount: | $5,000 |