| Date of birth: | 1936 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 57940 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Booking number: | 0104044 |
| Booking date: | Feb 17, 2001 |
| Release date: | Feb 20, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 00-119170 |
| Number: | 005004986 |
| Amount: | $1,000 |