| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 335874 |
| SO#: | 163487 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0115422 |
| Booking date: | Jun 25, 2001 |
| Release date: | Jun 26, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 98-0004538 |
| Amount: | $900 |