| Date of birth: | 1945 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | MT00041159 |
| SO#: | 249682 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Booking number: | 0025852 |
| Booking date: | Oct 28, 2000 |
| Release date: | Nov 1, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | FTF 10/31/00 |
| Amount: | $480 |