| Date of birth: | 1946 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 356084 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 12022485 |
| Booking date: | May 2, 2012 |
| Release date: | May 3, 2012 |
| Booking location: | Salt Lake County, UT |
| Booking location: | Weber County, UT |
| Status: | Paid |
| Posted: | May 2, 2012 |
| Number: | 091101240 |
| Amount: | $670 |