| Date of birth: | 1943 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 384798 |
| SO#: | 241220 |
| Booked at: | SALT LAKE |
| Cob: | Indiana |
| Booking number: | 9928303 |
| Booking date: | Nov 16, 1999 |
| Release date: | Dec 1, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,000 |
| Number: | 991922803FS |
| Amount: | $50,000 |
