| Date of birth: | 1938 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 122938 |
| SO#: | 64217 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9910473 |
| Booking date: | Apr 27, 1999 |
| Release date: | Apr 27, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 961001440 |
| Amount: | $2,500 |