| Date of birth: | 1927 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 129077 |
| SO#: | 69031 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9817121 |
| Booking date: | Jul 26, 1998 |
| Release date: | Jul 27, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 981100596 |
| Amount: | $2,500 |