| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Blue |
| State id: | 00601113 |
| SO#: | 242054 |
| Booked at: | SALT LAKE |
| Booking number: | 9931546 |
| Booking date: | Dec 24, 1999 |
| Release date: | Dec 24, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,051 |
| Number: | 961000017 |
| Amount: | $294 |