| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 354711 |
| SO#: | 184596 |
| Booked at: | SALT LAKE |
| Cob: | Indiana |
| Citizen: | UNITED STATES |
| Booking number: | 0412809 |
| Booking date: | May 25, 2004 |
| Release date: | Nov 24, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50,000 |
| Number: | 041903529 |
| Amount: | $5,000 |
| Number: | 041903537 |
| Amount: | $50,007 |
| Number: | 04CR00382 |
| Amount: | $250 |
| Number: | 04CR17249 |
| Amount: | $350 |
