| Date of birth: | 1947 |
| State id: | 123438 |
| SO#: | 64409 |
| Booked at: | SALT LAKE |
| Booking number: | 0522239 |
| Booking date: | Sep 14, 2005 |
| Release date: | Sep 14, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | C04 08406 |
| Amount: | $2,500 |
| Number: | Y0106703 |
| Amount: | $5,005 |