| Date of birth: | 1955 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 395615 |
| SO#: | 159627 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0302696 |
| Booking date: | Jan 28, 2003 |
| Release date: | Feb 5, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 004003696 |
| Amount: | $3,000 |
| Number: | C01-00866 |
| Amount: | $780 |