| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 141620 |
| SO#: | 77664 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9910578 |
| Booking date: | Apr 28, 1999 |
| Release date: | Apr 29, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 981917936 |
| Amount: | $5,000 |