| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 306441 |
| SO#: | 100954 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 0120671 |
| Booking date: | Aug 22, 2001 |
| Release date: | Oct 3, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 005008913 |
| Amount: | $1,120 |