| Date of birth: | 1943 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 513164 |
| SO#: | 235042 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Booking number: | 9904784 |
| Booking date: | Feb 22, 1999 |
| Release date: | Feb 22, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991902135 |
| Amount: | $5,000 |