| Date of birth: | 1928 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 00433252 |
| SO#: | 205508 |
| Booked at: | SALT LAKE |
| Cob: | Maryland |
| Booking number: | 9820470 |
| Booking date: | Sep 3, 1998 |
| Release date: | Sep 3, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 965008150 |
| Amount: | $2,500 |