| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1058822 |
| SO#: | 282823 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Citizen: | UNITED STATES |
| Booking number: | 0430328 |
| Booking date: | Dec 26, 2004 |
| Release date: | Jan 26, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $15,000 |
| Number: | 04-08247 |
| Amount: | $1,005 |
| Number: | 041905576 |
| Number: | 041906364 |
| Amount: | $5,000 |
