| Date of birth: | 1951 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 368434 |
| SO#: | 285171 |
| Booked at: | SALT LAKE |
| Cob: | Virginia |
| Citizen: | UNITED STATES |
| Booking number: | 0429411 |
| Booking date: | Dec 14, 2004 |
| Release date: | Jan 21, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,000 |
| Number: | 041908024 |
| Number: | 011904068 |
| Amount: | $500 |
| Number: | 041905039 |
| Amount: | $6,000 |
