| Date of birth: | 1949 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| State id: | 233668 |
| SO#: | 106553 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Booking number: | 9921797 |
| Booking date: | Sep 3, 1999 |
| Release date: | Sep 25, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 0026585 |