| Date of birth: | 1941 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 1078605 |
| SO#: | 294583 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 633427 |
| Booking date: | Dec 23, 2006 |
| Release date: | Dec 23, 2006 |
| Booking location: | Salt Lake County, UT |