| Date of birth: | 1949 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 122645 |
| SO#: | 63513 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Booking number: | 0732999 |
| Booking date: | Dec 19, 2007 |
| Release date: | Dec 19, 2007 |
| Booking location: | Salt Lake County, UT |
| Number: | 071902955 |
| Amount: | $5,000 |