| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 166995 |
| SO#: | 72120 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0920237 |
| Booking date: | Jul 20, 2009 |
| Release date: | Aug 14, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 095000130 |
| Amount: | $505 |