| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1068404 |
| SO#: | 285525 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0621989 |
| Booking date: | Aug 20, 2006 |
| Release date: | Aug 20, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $570 |