| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 355423 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Citizen: | UNITED STATES |
| Booking number: | 12018259 |
| Booking date: | Apr 9, 2012 |
| Release date: | Apr 9, 2012 |
| Booking location: | Salt Lake County, UT |
| Status: | Open |
| Posted: | Apr 9, 2012 |
| Number: | 121902226 |
| Amount: | $5,000 |