| Date of birth: | 1944 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 097274 |
| SO#: | 45785 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0519083 |
| Booking date: | Aug 8, 2005 |
| Release date: | Aug 8, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,055 |