| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 165499 |
| SO#: | 96107 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Booking number: | 9920099 |
| Booking date: | Aug 15, 1999 |
| Release date: | Aug 26, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $15,000 |
| Number: | 97204957 |
| Amount: | $280 |