| Date of birth: | 1941 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 283061 |
| SO#: | 240627 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9926117 |
| Booking date: | Oct 22, 1999 |
| Release date: | Oct 22, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991001237 |
| Amount: | $670 |
| Number: | 991916606 |
| Amount: | $1,500 |