| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 518650 |
| SO#: | 100759 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9922275 |
| Booking date: | Sep 8, 1999 |
| Release date: | Sep 8, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991917775 |
| Amount: | $5,000 |