| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 361167 |
| SO#: | 179130 |
| Booked at: | SALT LAKE |
| Cob: | Indiana |
| Citizen: | UNITED STATES |
| Booking number: | 0716798 |
| Booking date: | Jun 28, 2007 |
| Release date: | Jun 29, 2007 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |
| Number: | 06-0316 |
| Amount: | $307 |