| Date of birth: | 1924 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 74863 |
| SO#: | 28519 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0220478 |
| Booking date: | Sep 10, 2002 |
| Release date: | Sep 18, 2002 |
| Booking location: | Salt Lake County, UT |