| Date of birth: | 1950 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 483802 |
| SO#: | 240447 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0324506 |
| Booking date: | Sep 27, 2003 |
| Release date: | Sep 27, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $872 |
| Number: | 98040264 |
| Amount: | $800 |
| Number: | 995005646 |
| Amount: | $1,005 |
