| Date of birth: | 1934 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 469892 |
| SO#: | 62163 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9808505 |
| Booking date: | Apr 10, 1998 |
| Release date: | Apr 11, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |
| Number: | 971006520 |
| Amount: | $2,500 |
