| Date of birth: | 1959 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 669526 |
| SO#: | 297538 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Citizen: | UNITED STATES |
| Booking number: | 0925532 |
| Booking date: | Sep 9, 2009 |
| Release date: | Sep 18, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 09CR10232 |
| Amount: | $1,500 |