| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 00300284 |
| SO#: | 158889 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 9931854 |
| Booking date: | Dec 29, 1999 |
| Release date: | Dec 29, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 971005700 |
| Amount: | $145 |
| Number: | 991905240 |
| Amount: | $2,500 |
| Number: | 995910783 |
| Amount: | $127 |