| Date of birth: | 1939 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 255822 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 0115870 |
| Booking date: | Jun 30, 2001 |
| Release date: | Jul 3, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | FTF 07-03-01 |
| Amount: | $2,685 |