| Date of birth: | 1926 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 317622 |
| SO#: | 219578 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9710113 |
| Booking date: | May 3, 1997 |
| Release date: | May 9, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,300 |