| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 213348 |
| SO#: | 125696 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0831617 |
| Booking date: | Nov 23, 2008 |
| Release date: | Nov 23, 2008 |
| Booking location: | Salt Lake County, UT |
| Number: | 021600043 |
| Amount: | $1,500 |