| Date of birth: | 1935 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 330281 |
| SO#: | 271424 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0310254 |
| Booking date: | Apr 22, 2003 |
| Release date: | Apr 23, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 015018582 |
| Amount: | $1,000 |
| Number: | T01-05564 |
| Amount: | $230 |
