| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 298750 |
| SO#: | 236670 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Citizen: | UNITED STATES |
| Booking number: | 0723208 |
| Booking date: | Sep 3, 2007 |
| Release date: | Sep 3, 2007 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,960 |