| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 00402197 |
| SO#: | 235612 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9907079 |
| Booking date: | Mar 19, 1999 |
| Release date: | Mar 19, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 3588094 |
| Amount: | $675 |