| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 241091 |
| Booked at: | SALT LAKE |
| Cob: | District of Columbia |
| Booking number: | 9927892 |
| Booking date: | Nov 11, 1999 |
| Release date: | Nov 11, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $644 |
| Number: | 995402445 |
| Amount: | $164 |