| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 285704 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 0500849 |
| Booking date: | Jan 10, 2005 |
| Release date: | Jan 10, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 04 08809 |
| Amount: | $1,005 |
| Number: | 045009982 |
| Amount: | $1,870 |