| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 278969 |
| SO#: | 151594 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Citizen: | UNITED STATES |
| Booking number: | 0229079 |
| Booking date: | Dec 17, 2002 |
| Release date: | Jan 8, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 001903775 |
| Number: | 021905439 |
| Amount: | $25,000 |
| Number: | 021909386 |
| Amount: | $25,000 |
