| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 153043 |
| SO#: | 86238 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0410243 |
| Booking date: | Apr 24, 2004 |
| Release date: | Apr 29, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 03-5133 |
| Amount: | $480 |
| Number: | 03CR10581 |
| Amount: | $1,500 |
