| Date of birth: | 1933 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 127642 |
| SO#: | 41782 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Booking number: | 9821302 |
| Booking date: | Sep 12, 1998 |
| Release date: | Oct 1, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 981918483FS |
| Amount: | $10,000 |
| Number: | NA |
| Amount: | $11,110 |