| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 313277 |
| SO#: | 109401 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 0025482 |
| Booking date: | Oct 24, 2000 |
| Release date: | Oct 28, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | FTF 10-27-00 |
| Amount: | $1,110 |