| Date of birth: | 1952 |
| Hair: | White |
| Eyes: | Green |
| State id: | 167398 |
| SO#: | 97484 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 0619315 |
| Booking date: | Jul 22, 2006 |
| Release date: | Jul 22, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $480 |