| Date of birth: | 1933 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 253772 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 0108695 |
| Booking date: | Apr 10, 2001 |
| Release date: | Apr 22, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | FTF 04*12*01 |
| Amount: | $335 |