| Date of birth: | 1941 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 106542 |
| SO#: | 108243 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0304375 |
| Booking date: | Feb 15, 2003 |
| Release date: | Feb 19, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $25,000 |