| Date of birth: | 1941 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 625380 |
| SO#: | 296154 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Citizen: | UNITED STATES |
| Booking number: | 0624570 |
| Booking date: | Sep 18, 2006 |
| Release date: | Nov 17, 2006 |
| Booking location: | Salt Lake County, UT |