| Date of birth: | 1930 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 285475 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0430600 |
| Booking date: | Dec 30, 2004 |
| Release date: | Jan 3, 2005 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 7787 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Amount: | $1,850 |
| Number: | 051900013 |
| Amount: | $2,000 |
