| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 516871 |
| SO#: | 238717 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9918822 |
| Booking date: | Aug 1, 1999 |
| Release date: | Aug 1, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 971021010 |
| Amount: | $10,000 |