| Date of birth: | 1937 |
| State id: | 187509 |
| SO#: | 110296 |
| Booked at: | SALT LAKE |
| Booking number: | 0225730 |
| Booking date: | Nov 9, 2002 |
| Release date: | Nov 9, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $484 |
| Number: | 02-06154 |
| Amount: | $710 |
| Number: | 021900408 |
| Amount: | $2,500 |