| Date of birth: | 1932 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 1051668 |
| SO#: | 280216 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Citizen: | UNITED STATES |
| Booking number: | 0424781 |
| Booking date: | Oct 18, 2004 |
| Release date: | Mar 7, 2005 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 0410515 |
| Booking date: | Apr 27, 2004 |
| Release date: | Apr 27, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 041902717 |
| Amount: | $20,000 |
