| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 299370 |
| SO#: | 159542 |
| Booked at: | SALT LAKE |
| Cob: | Massachusetts |
| Citizen: | UNITED STATES |
| Booking number: | 10038729 |
| Booking date: | Jul 25, 2010 |
| Release date: | Jul 25, 2010 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0415464 |
| Booking date: | Jun 27, 2004 |
| Release date: | Jun 27, 2004 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Jul 25, 2010 |
| Grade: | F |
| Description: | Forgery |
| Degree: | 3 |
| Code: | 32A.12.310.2 |
| Case number: | 101903929 |
| Number: | 101903929 |
