| Date of birth: | 1958 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 504371 |
| SO#: | 224987 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0220796 |
| Booking date: | Sep 14, 2002 |
| Release date: | Sep 18, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 015010071 |
| Amount: | $2,505 |