| Date of birth: | 1947 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 251934 |
| SO#: | 99950 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9910349 |
| Booking date: | Apr 26, 1999 |
| Release date: | Apr 27, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 049905715 |
| Amount: | $1,500 |