| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 510055 |
| SO#: | 231269 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9830079 |
| Booking date: | Dec 29, 1998 |
| Release date: | Dec 30, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 981921375 |
| Amount: | $5,000 |