| Date of birth: | 1919 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 158878 |
| SO#: | 91090 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9802080 |
| Booking date: | Jan 25, 1998 |
| Release date: | Jan 25, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $925 |