| Date of birth: | 1946 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 329819 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Citizen: | UNITED STATES |
| Booking number: | 0928589 |
| Booking date: | Oct 9, 2009 |
| Release date: | Oct 30, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,000 |
| Number: | 091908083 |
| Amount: | $10,000 |