| Date of birth: | 1926 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 220005 |
| Booked at: | SALT LAKE |
| Cob: | Indiana |
| Booking number: | 9711702 |
| Booking date: | May 23, 1997 |
| Release date: | May 23, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 961015880 |
| Amount: | $2,500 |