| Date of birth: | 1943 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 1105105 |
| SO#: | 53153 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0618289 |
| Booking date: | Jul 12, 2006 |
| Release date: | Jul 12, 2006 |
| Booking location: | Salt Lake County, UT |
| Number: | 061904380 |
| Amount: | $10,000 |