| Date of birth: | 1926 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 139243 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 0019892 |
| Booking date: | Aug 19, 2000 |
| Release date: | Aug 19, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 961017046 |
| Amount: | $5,000 |