| Date of birth: | 1942 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 1091113 |
| SO#: | 295284 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0618364 |
| Booking date: | Jul 13, 2006 |
| Release date: | Jul 13, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $480 |