| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 113735 |
| SO#: | 57158 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Booking number: | 9808807 |
| Booking date: | Apr 14, 1998 |
| Release date: | Apr 14, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 974003607 |
| Amount: | $120 |
| Number: | 985105458 |
| Amount: | $117 |