| Date of birth: | 1927 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 260878 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Citizen: | UNITED STATES |
| Booking number: | 0202002 |
| Booking date: | Jan 25, 2002 |
| Release date: | Jan 25, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 021900865 |
| Amount: | $20,000 |