| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 319513 |
| SO#: | 164704 |
| Booked at: | SALT LAKE |
| Cob: | Iowa |
| Citizen: | UNITED STATES |
| Photo date: | Aug 3, 2011 |
| Booking number: | 11021715 |
| Booking date: | Apr 27, 2011 |
| Release date: | Aug 3, 2011 |
| Booking location: | Salt Lake County, UT |
| Booking location: | Utah |
| Issued by: | JAIL HEALTH SERVICES - MEDICAL / MH |
| Status: | Open |
| Posted: | Aug 1, 2011 |
| Number: | 091903165 |