| Date of birth: | 1919 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 263139 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Citizen: | UNITED STATES |
| Booking number: | 0210285 |
| Booking date: | May 9, 2002 |
| Release date: | May 9, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,709 |