| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 162308 |
| SO#: | 280501 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0421154 |
| Booking date: | Sep 3, 2004 |
| Release date: | Oct 4, 2004 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0411715 |
| Booking date: | May 12, 2004 |
| Release date: | May 12, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |
| Number: | 041903315 |
| Amount: | $5,000 |
| Number: | 04CR05945 |
| Amount: | $5,000 |
