| Date of birth: | 1954 |
| Hair: | Red or auburn |
| Eyes: | Blue |
| State id: | 1048675 |
| SO#: | 279027 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0423085 |
| Booking date: | Sep 27, 2004 |
| Release date: | Oct 22, 2004 |
| Booking location: | Salt Lake County, UT |