| Date of birth: | 1941 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 323075 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Citizen: | UNITED STATES |
| Booking number: | 0904114 |
| Booking date: | Feb 10, 2009 |
| Release date: | Feb 12, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |