| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 167723 |
| SO#: | 97692 |
| Booked at: | SALT LAKE |
| Cob: | Maryland |
| Citizen: | UNITED STATES |
| Booking number: | 0422156 |
| Booking date: | Sep 15, 2004 |
| Release date: | Oct 27, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 021100090 |
| Amount: | $2,500 |
| Number: | 021601600 |
| Amount: | $700 |
| Number: | 021602609 |
| Amount: | $2,500 |
| Number: | 040001425 |
| Amount: | $2,000 |
| Number: | 041904149 |
| Amount: | $5,000 |
