| Date of birth: | 1935 |
| Hair: | Bald |
| Eyes: | Green |
| State id: | 0342568 |
| SO#: | 215507 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9719174 |
| Booking date: | Aug 22, 1997 |
| Release date: | Aug 22, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 961023901 |
| Amount: | $1,500 |