| Date of birth: | 1946 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 345325 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 11019010 |
| Booking date: | Apr 12, 2011 |
| Release date: | Apr 12, 2011 |
| Booking location: | Salt Lake County, UT |
| Status: | Open |
| Number: | 111400662 |
| Amount: | $5,000 |