| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 394954 |
| SO#: | 140969 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Booking number: | 9921536 |
| Booking date: | Sep 1, 1999 |
| Release date: | Sep 1, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991915079 |
| Amount: | $2,500 |