| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 129015 |
| SO#: | 67184 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0315626 |
| Booking date: | Jun 20, 2003 |
| Release date: | Jan 30, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |
| Number: | 031906195 |
| Number: | C02-01774 |
| Amount: | $1,500 |
| Number: | C02-06069 |
| Amount: | $1,090 |
