| Date of birth: | 1945 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 142765 |
| SO#: | 78501 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 0027279 |
| Booking date: | Nov 15, 2000 |
| Release date: | Nov 15, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 001918122FS |
| Amount: | $5,000 |