| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 00385201 |
| SO#: | 241780 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9930432 |
| Booking date: | Dec 11, 1999 |
| Release date: | Dec 16, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 99-04173 |
| Amount: | $520 |