| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 270883 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0308276 |
| Booking date: | Mar 30, 2003 |
| Release date: | Mar 30, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 025002524 |
| Amount: | $1,870 |