| Date of birth: | 1939 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| SO#: | 272621 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 0314829 |
| Booking date: | Jun 12, 2003 |
| Release date: | Jun 12, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 031903303FS |
| Amount: | $5,000 |