| Date of birth: | 1955 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 1038918 |
| SO#: | 275882 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0326445 |
| Booking date: | Oct 20, 2003 |
| Release date: | Oct 20, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 035002757 |
| Amount: | $2,505 |