| Date of birth: | 1940 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 289537 |
| SO#: | 155413 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Booking number: | 9929276 |
| Booking date: | Nov 27, 1999 |
| Release date: | Nov 28, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991917335 |
| Amount: | $145 |
| Number: | 991919401 |
| Amount: | $2,500 |
| Number: | 991920316 |
| Amount: | $2,500 |
