| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 231907 |
| SO#: | 130394 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9923605 |
| Booking date: | Sep 23, 1999 |
| Release date: | Sep 23, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $823 |
| Number: | 97120220 |
| Amount: | $300 |
| Number: | 995003426 |
| Amount: | $260 |