| Date of birth: | 1935 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 504837 |
| SO#: | 225425 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9800017 |
| Booking date: | Jan 1, 1998 |
| Release date: | Jan 1, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |
| Number: | 965005102 |
| Amount: | $227 |