| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 1043775 |
| SO#: | 277382 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0331834 |
| Booking date: | Dec 23, 2003 |
| Release date: | Dec 24, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 2003070583 |
| Amount: | $590 |
| Number: | C03-09154 |
| Amount: | $1,500 |
