| Date of birth: | 1954 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 187322 |
| SO#: | 110258 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0322112 |
| Booking date: | Aug 31, 2003 |
| Release date: | Sep 1, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,809 |