| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 356505 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Citizen: | UNITED STATES |
| Booking number: | 12025051 |
| Booking date: | May 16, 2012 |
| Release date: | May 16, 2012 |
| Booking location: | Salt Lake County, UT |
| Status: | Open |
| Posted: | May 16, 2012 |
| Number: | 121903944 |