| Date of birth: | 1947 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 283935 |
| Booked at: | SALT LAKE |
| Cob: | DENMARK |
| Citizen: | UNITED STATES |
| Booking number: | 0424802 |
| Booking date: | Oct 18, 2004 |
| Release date: | Oct 19, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 001001648 |
| Amount: | $3,870 |