| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 262498 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Citizen: | UNITED STATES |
| Booking number: | 0207950 |
| Booking date: | Apr 11, 2002 |
| Release date: | Apr 11, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 011918783 |
| Amount: | $5,000 |