| Date of birth: | 1939 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 253049 |
| SO#: | 139900 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 409242 |
| Booking date: | Apr 13, 2004 |
| Release date: | Apr 13, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 03CR14829 |
| Amount: | $2,500 |
| Number: | 04CR01536 |
| Amount: | $2,500 |
| Number: | 04CR02679 |
| Amount: | $500 |
