| Date of birth: | 1946 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 114810 |
| SO#: | 57912 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0419261 |
| Booking date: | Aug 12, 2004 |
| Release date: | Aug 15, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 001906806 |
| Amount: | $500 |
| Number: | 005004529 |
| Amount: | $180 |
| Number: | 035001833 |
| Amount: | $1,150 |
