| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1382161 |
| SO#: | 273796 |
| Booked at: | SALT LAKE |
| Cob: | District of Columbia |
| Citizen: | UNITED STATES |
| Booking number: | 0318926 |
| Booking date: | Jul 26, 2003 |
| Release date: | Jul 29, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,960 |