| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 190603 |
| SO#: | 111860 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 0332143 |
| Booking date: | Dec 30, 2003 |
| Release date: | Jan 24, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 03CR05420 |
| Amount: | $1,500 |
| Number: | 03CR18860 |
| Amount: | $7,500 |
