| Date of birth: | 1959 |
| Hair: | Bald |
| Eyes: | Hazel |
| SO#: | 355963 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 12021824 |
| Booking date: | Apr 28, 2012 |
| Release date: | Apr 29, 2012 |
| Booking location: | Salt Lake County, UT |
| Status: | Open |
| Posted: | Apr 28, 2012 |
| Amount: | $200 |