| Date of birth: | 1954 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 247621 |
| SO#: | 166202 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0225672 |
| Booking date: | Nov 9, 2002 |
| Release date: | Nov 9, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 965031731 |
| Amount: | $1,000 |