| Date of birth: | 1937 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 470202 |
| SO#: | 219113 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9708568 |
| Booking date: | Apr 14, 1997 |
| Release date: | Apr 14, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971005987 |
| Amount: | $5,000 |