| Date of birth: | 1936 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 466371 |
| SO#: | 217141 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9826184 |
| Booking date: | Nov 11, 1998 |
| Release date: | Nov 11, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |
| Number: | 971018936 |
| Amount: | $2,500 |
| Number: | 975040922 |
| Amount: | $494 |