| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 519866 |
| SO#: | 241108 |
| Booked at: | SALT LAKE |
| Cob: | Delaware |
| Citizen: | UNITED STATES |
| Booking number: | 0616817 |
| Booking date: | Jun 26, 2006 |
| Release date: | Jul 4, 2006 |
| Booking location: | Salt Lake County, UT |
| Number: | 051903434 |
| Amount: | $5,000 |