| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 0339564 |
| SO#: | 228142 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9809851 |
| Booking date: | Apr 27, 1998 |
| Release date: | Apr 27, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 971000275 |
| Amount: | $800 |