| Date of birth: | 1940 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 00409392 |
| SO#: | 255537 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Booking number: | 0114960 |
| Booking date: | Jun 20, 2001 |
| Release date: | Jun 22, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 011200608 |
| Amount: | $2,500 |