| Date of birth: | 1942 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 510732 |
| SO#: | 232103 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9824042 |
| Booking date: | Oct 16, 1998 |
| Release date: | Oct 17, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $11,675 |