| Date of birth: | 1942 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 260809 |
| SO#: | 235243 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9905652 |
| Booking date: | Mar 3, 1999 |
| Release date: | Mar 4, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 931500503 |
| Amount: | $4,930 |