| Date of birth: | 1936 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 247330 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Booking number: | 0018000 |
| Booking date: | Jul 27, 2000 |
| Release date: | Dec 20, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 001905559 |
| Amount: | $5,000 |