| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 106730 |
| SO#: | 65799 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9913323 |
| Booking date: | May 30, 1999 |
| Release date: | May 30, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 981901294 |
| Amount: | $1,000 |