| Date of birth: | 1936 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 80150 |
| SO#: | 36537 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0505208 |
| Booking date: | Mar 3, 2005 |
| Release date: | Mar 3, 2005 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0315190 |
| Booking date: | Jun 16, 2003 |
| Release date: | Sep 3, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |