| Date of birth: | 1947 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 192209 |
| SO#: | 112532 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0330792 |
| Booking date: | Dec 11, 2003 |
| Release date: | Dec 16, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $13,700 |