| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 537164 |
| SO#: | 256852 |
| Booked at: | SALT LAKE |
| Cob: | Minnesota |
| Citizen: | UNITED STATES |
| Booking number: | 0321592 |
| Booking date: | Aug 25, 2003 |
| Release date: | Aug 28, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 011910126 |
| Amount: | $10,000 |