| Date of birth: | 1933 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 312241 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Citizen: | UNITED STATES |
| Booking number: | 0733724 |
| Booking date: | Dec 29, 2007 |
| Release date: | Dec 29, 2007 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |