| Date of birth: | 1937 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 217807 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9703816 |
| Booking date: | Feb 15, 1997 |
| Release date: | Feb 16, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 4-944001756 |
| Amount: | $200 |