| Date of birth: | 1951 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 1012007 |
| SO#: | 265407 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Citizen: | UNITED STATES |
| Booking number: | 0322080 |
| Booking date: | Aug 30, 2003 |
| Release date: | Sep 4, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $755 |