| Date of birth: | 1946 |
| Hair: | Bald |
| Eyes: | Green |
| State id: | 678631 |
| SO#: | 320632 |
| Booked at: | SALT LAKE |
| Cob: | Wisconsin |
| Citizen: | UNITED STATES |
| Booking number: | 0830263 |
| Booking date: | Nov 8, 2008 |
| Release date: | Nov 10, 2008 |
| Booking location: | Salt Lake County, UT |
| Amount: | $25,000 |