| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 505212 |
| SO#: | 154974 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Citizen: | UNITED STATES |
| Booking number: | 0609367 |
| Booking date: | Apr 6, 2006 |
| Release date: | Apr 6, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |