| Date of birth: | 1922 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 484773 |
| SO#: | 171747 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9811204 |
| Booking date: | May 12, 1998 |
| Release date: | May 13, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 971007200 |
| Amount: | $10,000 |