| Date of birth: | 1954 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 490809 |
| SO#: | 187918 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Booking number: | 0104290 |
| Booking date: | Feb 20, 2001 |
| Release date: | Feb 20, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 001907816 |
| Amount: | $2,500 |