| Date of birth: | 1947 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| SO#: | 320653 |
| Booked at: | SALT LAKE |
| Cob: | Maryland |
| Citizen: | UNITED STATES |
| Booking number: | 0830356 |
| Booking date: | Nov 9, 2008 |
| Release date: | Nov 9, 2008 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |