| Date of birth: | 1938 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1045181 |
| SO#: | 277896 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Citizen: | UNITED STATES |
| Booking number: | 0403654 |
| Booking date: | Feb 12, 2004 |
| Release date: | Feb 18, 2004 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0402135 |
| Booking date: | Jan 26, 2004 |
| Release date: | Jan 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041100315 |
| Amount: | $5,000 |