| Date of birth: | 1954 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| SO#: | 330386 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Citizen: | UNITED STATES |
| Booking number: | 0930659 |
| Booking date: | Nov 1, 2009 |
| Release date: | Nov 3, 2009 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,330 |