| Date of birth: | 1947 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 504923 |
| SO#: | 225516 |
| Booked at: | SALT LAKE |
| Cob: | Wisconsin |
| Booking number: | 9800258 |
| Booking date: | Jan 4, 1998 |
| Release date: | Jan 7, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,927 |