| Date of birth: | 1942 |
| Hair: | Blonde |
| Eyes: | Hazel |
| State id: | 212226 |
| SO#: | 121571 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0502244 |
| Booking date: | Jan 26, 2005 |
| Release date: | Jan 26, 2005 |
| Booking location: | Salt Lake County, UT |
| Number: | 971400034 |
| Amount: | $5,000 |