| Date of birth: | 1936 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 097379 |
| SO#: | 45949 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0317353 |
| Booking date: | Jul 10, 2003 |
| Release date: | Jul 10, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $847 |
| Number: | 021908483 |
| Amount: | $100,000 |