| Date of birth: | 1956 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 362467 |
| SO#: | 165825 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0011386 |
| Booking date: | May 7, 2000 |
| Release date: | May 12, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 001901484 |
| Amount: | $5,000 |
| Number: | 27383 |