| Date of birth: | 1939 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 00153738 |
| SO#: | 250638 |
| Booked at: | SALT LAKE |
| Cob: | Alaska |
| Booking number: | 0028917 |
| Booking date: | Dec 5, 2000 |
| Release date: | Dec 6, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | FTF 12/08/00 |
| Amount: | $1,125 |