| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 206559 |
| SO#: | 236907 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Booking number: | 9924947 |
| Booking date: | Oct 8, 1999 |
| Release date: | Oct 9, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 99-04619 |
| Amount: | $600 |
| Number: | 99040150 |
| Amount: | $1,705 |