| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 141389 |
| SO#: | 77521 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Citizen: | UNITED STATES |
| Booking number: | 0501637 |
| Booking date: | Jan 19, 2005 |
| Release date: | Jan 27, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 03-06011 |
| Amount: | $1,005 |
| Number: | 995307260 |
| Amount: | $3,000 |
