| Date of birth: | 1939 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 500106 |
| SO#: | 220204 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9712382 |
| Booking date: | Jun 1, 1997 |
| Release date: | Jun 4, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,500 |