| Date of birth: | 1946 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 636019 |
| SO#: | 282775 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Citizen: | UNITED STATES |
| Booking number: | 0420267 |
| Booking date: | Aug 24, 2004 |
| Release date: | Aug 28, 2004 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |
| Number: | 03CR17800 |
| Amount: | $2,000 |
| Number: | 04CR11246 |
| Amount: | $270 |
