| Date of birth: | 1954 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 279510 |
| Booked at: | SALT LAKE |
| Booking number: | 0407780 |
| Booking date: | Mar 27, 2004 |
| Release date: | Apr 1, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,555 |
| Number: | 97373390 |
| Number: | Y00-1444 |
| Amount: | $1,175 |