| Date of birth: | 1937 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 332216 |
| SO#: | 168012 |
| Booked at: | SALT LAKE |
| Cob: | Massachusetts |
| Booking number: | 0402007 |
| Booking date: | Jan 24, 2004 |
| Release date: | Feb 1, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 03CR13900 |
| Amount: | $1,500 |
| Number: | 03CR15176 |
| Amount: | $1,500 |
| Number: | 03CR16538 |
| Amount: | $750 |
