| Date of birth: | 1939 |
| Hair: | White |
| Eyes: | Brown |
| State id: | 180355 |
| SO#: | 106272 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 11061592 |
| Booking date: | Dec 9, 2011 |
| Release date: | Dec 9, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Dec 9, 2011 |
| Grade: | M |
| Description: | Retail thefts/Acts Constituting (shoplift) |
| Degree: | B |
| Code: | 76.6.602 |
| Case number: | 111602044 |
| Number: | 111602044 |