| Date of birth: | 1920 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 248004 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 0020286 |
| Booking date: | Aug 24, 2000 |
| Release date: | Sep 21, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 991910108 |
| Amount: | $5,000 |