| Date of birth: | 1949 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 176017 |
| SO#: | 267090 |
| Booked at: | SALT LAKE |
| Cob: | New Jersey |
| Citizen: | UNITED STATES |
| Booking number: | 0224906 |
| Booking date: | Nov 1, 2002 |
| Release date: | Nov 1, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,684 |