| Date of birth: | 1931 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 646446 |
| SO#: | 263974 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Citizen: | UNITED STATES |
| Booking number: | 0213441 |
| Booking date: | Jun 16, 2002 |
| Release date: | Jun 16, 2002 |
| Booking location: | Salt Lake County, UT |