| Date of birth: | 1946 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| SO#: | 291873 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0524355 |
| Booking date: | Oct 8, 2005 |
| Release date: | Oct 11, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,370 |