| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 169254 |
| SO#: | 98739 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0325910 |
| Booking date: | Oct 14, 2003 |
| Release date: | Oct 16, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 015003701 |
| Amount: | $800 |
| Number: | 031000764 |
| Amount: | $5,000 |
