| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 76756 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0315492 |
| Booking date: | Jun 19, 2003 |
| Release date: | Jun 19, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 024600065 |
| Amount: | $1,000 |