| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 396806 |
| SO#: | 248508 |
| Booked at: | SALT LAKE |
| Cob: | Vermont |
| Citizen: | UNITED STATES |
| Booking number: | 0619344 |
| Booking date: | Jul 22, 2006 |
| Release date: | Sep 25, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,251 |
| Number: | 051906201 |