| Date of birth: | 1934 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| State id: | 078069 |
| SO#: | 45718 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0217975 |
| Booking date: | Aug 12, 2002 |
| Release date: | Aug 12, 2002 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |
| Number: | 001904541 |
| Amount: | $1,000 |
| Number: | 985949367 |
| Amount: | $5,000 |
