| Date of birth: | 1933 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 344992 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Citizen: | UNITED STATES |
| Booking number: | 11016678 |
| Booking date: | Mar 30, 2011 |
| Release date: | Mar 30, 2011 |
| Booking location: | Salt Lake County, UT |
| Offense date: | Mar 30, 2011 |
| Grade: | M |
| Description: | Interference with arresting officer |
| Degree: | B |
| Code: | 76.8.305 |
| Case number: | 111600200 |
| Number: | 111600200 |