| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 653246 |
| SO#: | 272682 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Citizen: | UNITED STATES |
| Booking number: | 0315047 |
| Booking date: | Jun 14, 2003 |
| Release date: | Jun 18, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $134 |
| Number: | 03CR07649 |
| Amount: | $2,500 |