| Date of birth: | 1928 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0355823 |
| SO#: | 176810 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 9804135 |
| Booking date: | Feb 17, 1998 |
| Release date: | Feb 17, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 961000450 |
| Amount: | $2,500 |