| Date of birth: | 1958 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 1041468 |
| SO#: | 276635 |
| Booked at: | SALT LAKE |
| Citizen: | UNITED STATES |
| Booking number: | 0329249 |
| Booking date: | Nov 21, 2003 |
| Release date: | Dec 18, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50,000 |