| Date of birth: | 1946 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 137055 |
| SO#: | 74523 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0120699 |
| Booking date: | Aug 22, 2001 |
| Release date: | Aug 23, 2001 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,634 |