| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 158917 |
| SO#: | 91181 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Citizen: | UNITED STATES |
| Booking number: | 0631239 |
| Booking date: | Nov 29, 2006 |
| Release date: | Dec 1, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $3,377 |