| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 101246 |
| SO#: | 48697 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0317749 |
| Booking date: | Jul 14, 2003 |
| Release date: | Sep 5, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031700941 |
| Number: | 941201188 |
| Amount: | $1,000 |
| Number: | 941201237 |
| Amount: | $5,000 |
| Number: | 941201255 |
| Amount: | $5,000 |
