| Date of birth: | 1951 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 392877 |
| SO#: | 187186 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9903306 |
| Booking date: | Feb 5, 1999 |
| Release date: | Feb 5, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100 |
| Number: | 991901111 |
| Amount: | $2,500 |