| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 136812 |
| SO#: | 74447 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0626593 |
| Booking date: | Oct 9, 2006 |
| Release date: | Oct 17, 2006 |
| Booking location: | Salt Lake County, UT |
| Number: | 055104832 |
| Amount: | $207 |