| Date of birth: | 1954 |
| Hair: | Black |
| Eyes: | Blue |
| SO#: | 265247 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 0218257 |
| Booking date: | Aug 16, 2002 |
| Release date: | Aug 20, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 005007875 |
| Amount: | $2,505 |