| Date of birth: | 1937 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 515464 |
| SO#: | 237509 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0317247 |
| Booking date: | Jul 8, 2003 |
| Release date: | Jul 14, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,310 |
| Number: | 981923938 |
| Amount: | $103 |
