| Date of birth: | 1949 |
| Hair: | Red or auburn |
| Eyes: | Blue |
| State id: | 0390661 |
| SO#: | 210914 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0330203 |
| Booking date: | Dec 3, 2003 |
| Release date: | Dec 9, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |
| Number: | 005400850 |
| Amount: | $750 |
