| Date of birth: | 1940 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 239424 |
| Booked at: | SALT LAKE |
| Cob: | Massachusetts |
| Booking number: | 9921559 |
| Booking date: | Sep 1, 1999 |
| Release date: | Sep 1, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $270 |
| Number: | 981917632 |
| Amount: | $1,000 |