| Date of birth: | 1948 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 514517 |
| SO#: | 236483 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Booking number: | 9910439 |
| Booking date: | Apr 27, 1999 |
| Release date: | Apr 27, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 99084383 |
| Amount: | $1,850 |