| Date of birth: | 1939 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 252531 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 0104312 |
| Booking date: | Feb 20, 2001 |
| Release date: | Feb 20, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 004001022 |
| Amount: | $520 |