| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 337198 |
| SO#: | 169731 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 0719706 |
| Booking date: | Jul 28, 2007 |
| Release date: | Aug 2, 2007 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,050 |
| Number: | C07 01589 |
| Amount: | $1,500 |