| Date of birth: | 1939 |
| Hair: | Sandy |
| Eyes: | Hazel |
| State id: | 103451 |
| SO#: | 50291 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Booking number: | 9911624 |
| Booking date: | May 11, 1999 |
| Release date: | May 11, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991400359MO |
| Amount: | $2,500 |