| Date of birth: | 1912 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 502197 |
| SO#: | 222601 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Booking number: | 9720198 |
| Booking date: | Sep 4, 1997 |
| Release date: | Sep 5, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,000 |