| Date of birth: | 1940 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1007931 |
| SO#: | 268606 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Citizen: | UNITED STATES |
| Booking number: | 0310092 |
| Booking date: | Apr 20, 2003 |
| Release date: | Apr 25, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 02009856 |
| Amount: | $493 |
| Number: | 021500671 |
| Amount: | $5,000 |
