| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 115793 |
| SO#: | 58867 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0219572 |
| Booking date: | Aug 31, 2002 |
| Release date: | Sep 1, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,590 |