| Date of birth: | 1940 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| State id: | 602155 |
| SO#: | 235493 |
| Booked at: | SALT LAKE |
| Cob: | Massachusetts |
| Booking number: | 9925630 |
| Booking date: | Oct 17, 1999 |
| Release date: | Oct 17, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991908247 |
| Amount: | $145 |
| Number: | 991909209 |
| Amount: | $145 |
| Number: | 991910315 |
| Amount: | $2,500 |
