| Date of birth: | 1944 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| SO#: | 288710 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0512601 |
| Booking date: | May 26, 2005 |
| Release date: | May 26, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |