| Date of birth: | 1947 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 271973 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 0312399 |
| Booking date: | May 15, 2003 |
| Release date: | May 15, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 03CR04970 |
| Amount: | $1,500 |