| Date of birth: | 1938 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 099581 |
| SO#: | 44899 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9925126 |
| Booking date: | Oct 10, 1999 |
| Release date: | Oct 11, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 995305148 |
| Amount: | $1,150 |
