| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 216112 |
| SO#: | 123245 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Citizen: | UNITED STATES |
| Hold: | no |
| Booking number: | 0411135 |
| Booking date: | May 5, 2004 |
| Release date: | May 5, 2004 |
| Booking location: | Salt Lake County, UT |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2000-017473 |
| Booking date: | Aug 23, 2000 |
| Release date: | Aug 24, 2000 |
| Booking location: | Polk County, FL |
| Statute: | 893.13(6A) DRUGS-POSSESS-CONTROLLED SUBSTANCE WITHOUT PRESCRI |
| Charge on arrest docket: | POSS CANNIBIS OVER 20 GRAMS |
| Charge number: | 1 |
| Bond type: | CBN |
| Bond number: | 00-001882 |
| Bond exp: | CBN 00-1882 FOR 1,000 |
| Bond amount: | $1,000 |
| Statute: | 893.147(1) NARCOTIC EQUIP-POSSESS-AND OR USE |
| Charge on arrest docket: | POSS DRUG PARA |
| Charge number: | 2 |
| Bond type: | CBN |
| Bond number: | 00-001882 |
| Bond exp: | CBN 00-1882 FOR 500 |
| Bond amount: | $500 |
| Amount: | $925 |