| Date of birth: | 1943 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 1188646 |
| SO#: | 324784 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0910266 |
| Booking date: | Apr 8, 2009 |
| Release date: | Apr 16, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,110 |