| Date of birth: | 1924 |
| Hair: | Gray or partially gray |
| Eyes: | Gray |
| State id: | 157510 |
| SO#: | 89927 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0217435 |
| Booking date: | Aug 5, 2002 |
| Release date: | Aug 13, 2002 |
| Booking location: | Salt Lake County, UT |