| Date of birth: | 1938 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 514224 |
| SO#: | 236176 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9909246 |
| Booking date: | Apr 13, 1999 |
| Release date: | Apr 13, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991907674 |
| Amount: | $2,500 |