| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 1037428 |
| SO#: | 275522 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0415775 |
| Booking date: | Jul 1, 2004 |
| Release date: | Jul 2, 2004 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0325072 |
| Booking date: | Oct 3, 2003 |
| Release date: | Oct 4, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $135 |