| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 196617 |
| SO#: | 114708 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0306062 |
| Booking date: | Mar 5, 2003 |
| Release date: | Oct 6, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 011104094 |
| Number: | C01-02885 |
| Amount: | $5,000 |