| Date of birth: | 1923 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 211601 |
| SO#: | 121141 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9813983 |
| Booking date: | Jun 18, 1998 |
| Release date: | Jun 18, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 981904180 |
| Amount: | $5,000 |