| Date of birth: | 1938 |
| State id: | 600785 |
| SO#: | 259373 |
| Booked at: | SALT LAKE |
| Booking number: | 0411302 |
| Booking date: | May 7, 2004 |
| Release date: | May 7, 2004 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0127949 |
| Booking date: | Nov 14, 2001 |
| Release date: | Nov 16, 2001 |
| Booking location: | Salt Lake County, UT |
| Amount: | $505 |
| Number: | 015912128 |
| Amount: | $5,000 |