| Date of birth: | 1943 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 653908 |
| SO#: | 299290 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Citizen: | UNITED STATES |
| Booking number: | 0620176 |
| Booking date: | Aug 1, 2006 |
| Release date: | Aug 1, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $622 |
| Number: | 03CR10067 |
| Amount: | $750 |