| Date of birth: | 1950 |
| Hair: | White |
| Eyes: | Brown |
| SO#: | 328687 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0924604 |
| Booking date: | Sep 1, 2009 |
| Release date: | Sep 1, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 091906798 |
| Amount: | $10,000 |