| Date of birth: | 1934 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 93874 |
| SO#: | 234739 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9903515 |
| Booking date: | Feb 7, 1999 |
| Release date: | Feb 12, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,529 |
| Number: | 975006162 |
| Amount: | $1,000 |