| Date of birth: | 1954 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 221773 |
| SO#: | 113966 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Citizen: | UNITED STATES |
| Booking number: | 0331470 |
| Booking date: | Dec 19, 2003 |
| Release date: | Jan 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 021100049 |
| Amount: | $10,000 |
| Number: | 031603198 |
| Amount: | $5,000 |
| Number: | C02-04003 |
| Amount: | $2,505 |
| Number: | C03-04003 |
| Number: | C03-04248 |
| Amount: | $2,500 |
