| Date of birth: | 1937 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 111076 |
| SO#: | 63863 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Citizen: | UNITED STATES |
| Booking number: | 0520590 |
| Booking date: | Aug 26, 2005 |
| Release date: | Sep 7, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |
| Number: | 04CR07078 |
| Amount: | $1,500 |
| Number: | 04CR11117 |
| Amount: | $750 |
| Number: | 04CR11150 |
| Amount: | $500 |
| Number: | 05CR10829 |
| Amount: | $270 |
