| Date of birth: | 1931 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 159735 |
| SO#: | 71304 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0305070 |
| Booking date: | Feb 23, 2003 |
| Release date: | Feb 26, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |
| Number: | 011102514 |
| Amount: | $10,000 |
| Number: | C01-00235 |
| Amount: | $480 |