| Date of birth: | 1929 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 0409381 |
| SO#: | 227696 |
| Booked at: | SALT LAKE |
| Cob: | Alaska |
| Booking number: | 9808179 |
| Booking date: | Apr 6, 1998 |
| Release date: | Apr 15, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 975004915 |
| Amount: | $500 |