| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 329380 |
| SO#: | 167268 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 0308751 |
| Booking date: | Apr 5, 2003 |
| Release date: | Apr 9, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 03CR03566 |
| Amount: | $2,000 |