| Date of birth: | 1950 |
| State id: | 415254 |
| SO#: | 198932 |
| Booked at: | SALT LAKE |
| Booking number: | 0413062 |
| Booking date: | May 28, 2004 |
| Release date: | May 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9924560 |
| Booking date: | Oct 4, 1999 |
| Release date: | Oct 26, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,051 |