| Date of birth: | 1941 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 404485 |
| SO#: | 236306 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9909731 |
| Booking date: | Apr 18, 1999 |
| Release date: | Apr 18, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |