| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 340568 |
| SO#: | 287740 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0509057 |
| Booking date: | Apr 16, 2005 |
| Release date: | Apr 22, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 051902386 |
| Amount: | $5,000 |