| Date of birth: | 1942 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 503170 |
| SO#: | 223704 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Booking number: | 9723868 |
| Booking date: | Oct 22, 1997 |
| Release date: | Oct 22, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |