| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 306105 |
| SO#: | 160444 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 0623989 |
| Booking date: | Sep 11, 2006 |
| Release date: | Sep 12, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,405 |
| Number: | 055603924 |
| Amount: | $292 |
| Number: | 33015 |