| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 147278 |
| SO#: | 78689 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0412132 |
| Booking date: | May 17, 2004 |
| Release date: | Jul 10, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,755 |
| Number: | 041903338 |
| Amount: | $2,500 |
| Number: | 04CR04186 |
| Amount: | $2,000 |
| Number: | C04-00004 |
| Amount: | $3,330 |
