| Date of birth: | 1950 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 113651 |
| SO#: | 57095 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0927829 |
| Booking date: | Oct 2, 2009 |
| Release date: | Oct 2, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 061901322 |
| Amount: | $5,000 |