| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 266746 |
| SO#: | 174615 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0019214 |
| Booking date: | Aug 11, 2000 |
| Release date: | Aug 11, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 96-10225 |
| Amount: | $770 |
| Number: | 971000574 |
| Amount: | $124 |