| Date of birth: | 1951 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 193653 |
| SO#: | 201480 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 0509189 |
| Booking date: | Apr 17, 2005 |
| Release date: | Apr 24, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $955 |
| Number: | 04CR06811 |
| Amount: | $1,500 |