| Date of birth: | 1935 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 320976 |
| SO#: | 165177 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9921029 |
| Booking date: | Aug 27, 1999 |
| Release date: | Aug 29, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,000 |
| Number: | 971017741 |
| Number: | 961016094 |
| Amount: | $124 |