| Date of birth: | 1932 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 190865 |
| SO#: | 105102 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9820645 |
| Booking date: | Sep 5, 1998 |
| Release date: | Sep 5, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |