| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 184129 |
| SO#: | 277902 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Citizen: | UNITED STATES |
| Booking number: | 419972 |
| Booking date: | Aug 20, 2004 |
| Release date: | Aug 22, 2004 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 401573 |
| Booking date: | Jan 20, 2004 |
| Release date: | Jan 20, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $370 |