| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 310738 |
| SO#: | 144677 |
| Booked at: | SALT LAKE |
| Cob: | New Jersey |
| Booking number: | 0119349 |
| Booking date: | Aug 8, 2001 |
| Release date: | Aug 8, 2001 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |
| Number: | Y0-11781 |
| Amount: | $630 |