| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1059421 |
| SO#: | 283098 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 0521623 |
| Booking date: | Sep 7, 2005 |
| Release date: | Sep 12, 2005 |
| Booking location: | Salt Lake County, UT |