| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 270952 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 0404161 |
| Booking date: | Feb 18, 2004 |
| Release date: | Apr 7, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 031902231 |
| Number: | 041901267 |
| Amount: | $25,007 |