| Date of birth: | 1933 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| State id: | 178010 |
| SO#: | 104889 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9801008 |
| Booking date: | Jan 13, 1998 |
| Release date: | Jan 13, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 971922651 |
| Amount: | $10,000 |