| Date of birth: | 1912 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 505453 |
| SO#: | 226115 |
| Booked at: | SALT LAKE |
| Cob: | Tennessee |
| Booking number: | 9802459 |
| Booking date: | Jan 29, 1998 |
| Release date: | Jan 29, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 971922505 |
| Amount: | $10,000 |