| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 319792 |
| SO#: | 182506 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Booking number: | 0011515 |
| Booking date: | May 9, 2000 |
| Release date: | Jun 3, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 991901720 |
| Amount: | $2,500 |