| Date of birth: | 1941 |
| Hair: | White |
| Eyes: | Blue |
| State id: | 211129 |
| SO#: | 350133 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Citizen: | UNITED STATES |
| Booking number: | 11050140 |
| Booking date: | Oct 2, 2011 |
| Release date: | Oct 4, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Oct 2, 2011 |
| Grade: | F |
| Description: | Assault by a prisoner |
| Degree: | 2 |
| Code: | 76.5.102.5 |
| Offense date: | Oct 2, 2011 |
| Grade: | M |
| Description: | Interference with arresting officer |
| Degree: | B |
| Code: | 76.8.305 |
| Status: | Paid |
| Posted: | Oct 3, 2011 |
| Amount: | $10,555 |
