| Date of birth: | 1910 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 502720 |
| SO#: | 110111 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9722076 |
| Booking date: | Sep 28, 1997 |
| Release date: | Sep 28, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971012991 |
| Amount: | $50,000 |
| Number: | DH1945B |
| Amount: | $100 |
