| Date of birth: | 1933 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| State id: | 455966 |
| SO#: | 221114 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Booking number: | 9715483 |
| Booking date: | Jul 10, 1997 |
| Release date: | Nov 18, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $600 |
| Number: | 961005609MC |
| Amount: | $300 |
| Number: | 971012706FS |
| Amount: | $10,000 |
