| Date of birth: | 1945 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 1111091 |
| SO#: | 301079 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0628178 |
| Booking date: | Oct 26, 2006 |
| Release date: | Oct 30, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,617 |