| Date of birth: | 1922 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 266752 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0223807 |
| Booking date: | Oct 19, 2002 |
| Release date: | Oct 19, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,110 |