| Date of birth: | 1962 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 1175827 |
| SO#: | 320498 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Citizen: | UNITED STATES |
| Booking number: | 0916190 |
| Booking date: | Jun 8, 2009 |
| Release date: | Jun 8, 2009 |
| Booking location: | Salt Lake County, UT |
| Number: | 085010726 |
| Amount: | $3,000 |