| Date of birth: | 1940 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 147430 |
| SO#: | 81569 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Citizen: | UNITED STATES |
| Booking number: | 0331546 |
| Booking date: | Dec 20, 2003 |
| Release date: | Dec 20, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,500 |