| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 122558 |
| SO#: | 63781 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Citizen: | UNITED STATES |
| Booking number: | 0721825 |
| Booking date: | Aug 19, 2007 |
| Release date: | Aug 19, 2007 |
| Booking location: | Salt Lake County, UT |
| Amount: | $280 |