| Date of birth: | 1938 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 393597 |
| SO#: | 191213 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9916109 |
| Booking date: | Jul 1, 1999 |
| Release date: | Jul 6, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991400497 |
| Amount: | $5,000 |