| Date of birth: | 1943 |
| Hair: | Bald |
| Eyes: | Green |
| State id: | 640648 |
| SO#: | 285794 |
| Booked at: | SALT LAKE |
| Cob: | Kentucky |
| Citizen: | UNITED STATES |
| Booking number: | 0501204 |
| Booking date: | Jan 14, 2005 |
| Release date: | Apr 18, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50,000 |
| Number: | 051900365 |