| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 420953 |
| SO#: | 201108 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9910324 |
| Booking date: | Apr 25, 1999 |
| Release date: | Apr 25, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,857 |
| Number: | 985200588 |
| Amount: | $505 |