| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 273867 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0319160 |
| Booking date: | Jul 29, 2003 |
| Release date: | Jul 31, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031902911 |
| Amount: | $10,000 |