| Date of birth: | 1931 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 520681 |
| SO#: | 242126 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9931824 |
| Booking date: | Dec 28, 1999 |
| Release date: | Dec 29, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,850 |