| Date of birth: | 1942 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| SO#: | 221752 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9717484 |
| Booking date: | Aug 2, 1997 |
| Release date: | Aug 2, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 965014599 |
| Amount: | $297 |