| Date of birth: | 1923 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 0500830 |
| SO#: | 221090 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9721628 |
| Booking date: | Sep 23, 1997 |
| Release date: | Sep 23, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 951000270 |
| Amount: | $199 |
| Number: | 975021719 |
| Amount: | $464 |
