| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 636618 |
| SO#: | 253954 |
| Booked at: | SALT LAKE |
| Cob: | Maine |
| Booking number: | 0215547 |
| Booking date: | Jul 13, 2002 |
| Release date: | Jul 14, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 011902221 |
| Amount: | $5,000 |