| Date of birth: | 1940 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 210439 |
| SO#: | 126953 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0426824 |
| Booking date: | Nov 12, 2004 |
| Release date: | Nov 12, 2004 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0425579 |
| Booking date: | Oct 28, 2004 |
| Release date: | Nov 5, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041907335 |
| Amount: | $30,007 |
| Amount: | $2,500 |
