| Date of birth: | 1946 |
| Hair: | Blonde |
| Eyes: | Brown |
| State id: | 1141546 |
| SO#: | 327137 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Citizen: | UNITED STATES |
| Booking number: | 0918825 |
| Booking date: | Jul 5, 2009 |
| Release date: | Jul 5, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,334 |