| Date of birth: | 1945 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 00342955 |
| SO#: | 165459 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 0111469 |
| Booking date: | May 12, 2001 |
| Release date: | May 13, 2001 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,539 |
| Number: | 965717826 |
| Amount: | $425 |