| Date of birth: | 1935 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| SO#: | 322615 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0902425 |
| Booking date: | Jan 25, 2009 |
| Release date: | Jan 25, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 081908686 |
| Amount: | $5,000 |