| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 215953 |
| SO#: | 123097 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0200528 |
| Booking date: | Jan 7, 2002 |
| Release date: | Jan 7, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 971021420 |
| Amount: | $5,000 |