| Date of birth: | 1945 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 274466 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Citizen: | UNITED STATES |
| Booking number: | 0321404 |
| Booking date: | Aug 23, 2003 |
| Release date: | Aug 23, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,480 |