| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 219599 |
| SO#: | 290621 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0519687 |
| Booking date: | Aug 15, 2005 |
| Release date: | Sep 23, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $25,000 |
| Number: | 051905532 |
| Amount: | $100,000 |