| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 512367 |
| SO#: | 234062 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9900890 |
| Booking date: | Jan 9, 1999 |
| Release date: | Jan 9, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |
| Number: | 981923240 |
| Amount: | $1,000 |