| Date of birth: | 1935 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 009849 |
| SO#: | 47791 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9723905 |
| Booking date: | Oct 22, 1997 |
| Release date: | Oct 27, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,500 |