| Date of birth: | 1947 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1119595 |
| SO#: | 309606 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Citizen: | UNITED STATES |
| Booking number: | 0724507 |
| Booking date: | Sep 16, 2007 |
| Release date: | Sep 16, 2007 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |