| Date of birth: | 1929 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 237467 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Booking number: | 9914163 |
| Booking date: | Jun 9, 1999 |
| Release date: | Oct 5, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |
| Number: | 985907458 |
| Amount: | $564 |