| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 211522 |
| SO#: | 121362 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0319502 |
| Booking date: | Aug 1, 2003 |
| Release date: | Aug 2, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 015002117 |
| Amount: | $120 |
| Number: | 02-06752 |
| Amount: | $1,005 |
| Number: | 3 9439 99 |
| Amount: | $360 |