| Date of birth: | 1939 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 130417 |
| SO#: | 225674 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9800813 |
| Booking date: | Jan 10, 1998 |
| Release date: | Jan 10, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |