| Date of birth: | 1944 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 249452 |
| Booked at: | SALT LAKE |
| Cob: | Kentucky |
| Booking number: | 0125240 |
| Booking date: | Oct 13, 2001 |
| Release date: | Oct 13, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 011103723 |
| Amount: | $10,000 |