| Date of birth: | 1938 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| State id: | 108032 |
| SO#: | 50211 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0026680 |
| Booking date: | Nov 8, 2000 |
| Release date: | Nov 9, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 001917690 |
| Amount: | $15,000 |