| Date of birth: | 1937 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 127570 |
| SO#: | 67897 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9808757 |
| Booking date: | Apr 13, 1998 |
| Release date: | Apr 14, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,065 |