| Date of birth: | 1943 |
| State id: | 314727 |
| SO#: | 163076 |
| Booked at: | SALT LAKE |
| Booking number: | 0332079 |
| Booking date: | Dec 28, 2003 |
| Release date: | Dec 30, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031102713 |
| Amount: | $2,500 |
| Number: | 031102863 |
| Amount: | $2,500 |
