| Date of birth: | 1936 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 083283 |
| SO#: | 38280 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 0605764 |
| Booking date: | Mar 1, 2006 |
| Release date: | Mar 1, 2006 |
| Booking location: | Salt Lake County, UT |
| Number: | 055013791 |
| Amount: | $5,005 |