| Date of birth: | 1936 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 121280 |
| SO#: | 62682 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Booking number: | 9904695 |
| Booking date: | Feb 21, 1999 |
| Release date: | Mar 26, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $25,000 |