| Date of birth: | 1939 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 272864 |
| SO#: | 148604 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0318605 |
| Booking date: | Jul 23, 2003 |
| Release date: | Jul 23, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031904578 |
| Amount: | $10,000 |