| Date of birth: | 1940 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 509955 |
| SO#: | 231166 |
| Booked at: | SALT LAKE |
| Cob: | Oklahoma |
| Booking number: | 9820706 |
| Booking date: | Sep 5, 1998 |
| Release date: | Sep 5, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | NA |
| Amount: | $1,480 |