| Date of birth: | 1946 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 525066 |
| SO#: | 198668 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Citizen: | UNITED STATES |
| Booking number: | 0309169 |
| Booking date: | Apr 10, 2003 |
| Release date: | Apr 17, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | CO2-02292 |
| Amount: | $2,500 |