| Date of birth: | 1950 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 638646 |
| SO#: | 267119 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Citizen: | UNITED STATES |
| Booking number: | 0224980 |
| Booking date: | Nov 1, 2002 |
| Release date: | Nov 8, 2002 |
| Booking location: | Salt Lake County, UT |