| Date of birth: | 1955 |
| Hair: | Sandy |
| Eyes: | Brown |
| SO#: | 165227 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Citizen: | UNITED STATES |
| Booking number: | 0931087 |
| Booking date: | Nov 5, 2009 |
| Release date: | Nov 13, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |
| Number: | 085600545 |
| Amount: | $670 |