| Date of birth: | 1949 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1073112 |
| SO#: | 288169 |
| Booked at: | SALT LAKE |
| Booking number: | 0510655 |
| Booking date: | May 4, 2005 |
| Release date: | Sep 26, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,925 |
| Number: | 051902738 |
| Amount: | $10,000 |
| Number: | A28 471 706 |