| Date of birth: | 1945 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 1054073 |
| SO#: | 281170 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0414194 |
| Booking date: | Jun 11, 2004 |
| Release date: | Dec 19, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100,000 |
| Number: | 041903900 |
| Amount: | $100,007 |
