| Date of birth: | 1950 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 146118 |
| SO#: | 80646 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0513001 |
| Booking date: | May 31, 2005 |
| Release date: | Jun 1, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |