| Date of birth: | 1939 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 116630 |
| SO#: | 59102 |
| Booked at: | SALT LAKE |
| Booking number: | 9829333 |
| Booking date: | Dec 19, 1998 |
| Release date: | Dec 19, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 984002213 |
| Amount: | $1,005 |