| Date of birth: | 1949 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 290128 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 0517822 |
| Booking date: | Jul 24, 2005 |
| Release date: | Jul 25, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |