| Date of birth: | 1940 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 441303 |
| SO#: | 267388 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0322822 |
| Booking date: | Sep 8, 2003 |
| Release date: | Sep 16, 2003 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0225918 |
| Booking date: | Nov 12, 2002 |
| Release date: | Nov 13, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,567 |
| Number: | 025611458 MD |
| Amount: | $2,500 |