| Date of birth: | 1946 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 59328 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0409800 |
| Booking date: | Apr 19, 2004 |
| Release date: | Apr 20, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 2001041758 |
| Amount: | $1,250 |
| Number: | 2001041759 |
| Amount: | $1,250 |