| Date of birth: | 1940 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 912214 |
| SO#: | 264552 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0717679 |
| Booking date: | Jul 8, 2007 |
| Release date: | Jul 8, 2007 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |