| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 241075 |
| SO#: | 134575 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0328427 |
| Booking date: | Nov 12, 2003 |
| Release date: | Nov 14, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,050 |
| Number: | 03CR17321 |
| Amount: | $1,380 |