| Date of birth: | 1930 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 503574 |
| SO#: | 224035 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9724943 |
| Booking date: | Nov 4, 1997 |
| Release date: | Nov 4, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971019583 |
| Amount: | $10,000 |