| Date of birth: | 1930 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 254770 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 0319324 |
| Booking date: | Jul 31, 2003 |
| Release date: | Jul 31, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $3,044 |