| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 207362 |
| SO#: | 119536 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 0628151 |
| Booking date: | Oct 25, 2006 |
| Release date: | Oct 26, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |