| Date of birth: | 1952 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 288002 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 0510022 |
| Booking date: | Apr 28, 2005 |
| Release date: | Apr 28, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |