| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 264524 |
| SO#: | 145152 |
| Booked at: | SALT LAKE |
| Cob: | New Jersey |
| Citizen: | UNITED STATES |
| Booking number: | 0715397 |
| Booking date: | Jun 14, 2007 |
| Release date: | Jun 14, 2007 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |