| Date of birth: | 1925 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 327087 |
| SO#: | 162098 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0326819 |
| Booking date: | Oct 24, 2003 |
| Release date: | Oct 24, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031906643 |
| Amount: | $25,000 |