| Date of birth: | 1937 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 456682 |
| SO#: | 216170 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 9923013 |
| Booking date: | Sep 17, 1999 |
| Release date: | Sep 18, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,147 |
| Number: | 98-1870 |
| Amount: | $140 |
