| Date of birth: | 1937 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 509752 |
| SO#: | 230919 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0321940 |
| Booking date: | Aug 29, 2003 |
| Release date: | Aug 29, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,682 |