| Date of birth: | 1936 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 120230 |
| SO#: | 61892 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0500767 |
| Booking date: | Jan 9, 2005 |
| Release date: | Jan 12, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 03CR13578 |
| Amount: | $3,000 |
| Number: | 03CR13624 |
| Amount: | $3,000 |
| Number: | 04CR13112 |
| Amount: | $5,005 |
