| Date of birth: | 1955 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 1054379 |
| SO#: | 281273 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Citizen: | UNITED STATES |
| Booking number: | 0415271 |
| Booking date: | Jun 24, 2004 |
| Release date: | Sep 27, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500,000 |
| Number: | 041904111 |
| Amount: | $15,000 |
| Number: | 041904192 |
