| Date of birth: | 1942 |
| Hair: | White |
| Eyes: | Blue |
| State id: | 103538 |
| SO#: | 46422 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 0616885 |
| Booking date: | Jun 27, 2006 |
| Release date: | Jun 27, 2006 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |