| Date of birth: | 1925 |
| Hair: | Gray or partially gray |
| Eyes: | Green |
| State id: | 500145 |
| SO#: | 149620 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9712793 |
| Booking date: | Jun 6, 1997 |
| Release date: | Jun 6, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Number: | 961002609 |
| Amount: | $2,500 |
