| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 273421 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Citizen: | UNITED STATES |
| Booking number: | 0317595 |
| Booking date: | Jul 12, 2003 |
| Release date: | Jul 16, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $335 |
| Number: | 03CR10996 |
| Amount: | $370 |