| Date of birth: | 1939 |
| Hair: | Blonde |
| Eyes: | Gray |
| SO#: | 256766 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 0119043 |
| Booking date: | Aug 4, 2001 |
| Release date: | Aug 16, 2001 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Number: | 011911872 FS |
| Amount: | $100 |