| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 504551 |
| SO#: | 225117 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9728310 |
| Booking date: | Dec 17, 1997 |
| Release date: | Dec 17, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100 |
| Number: | 4-974005321 |
| Amount: | $120 |