| Date of birth: | 1917 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 060581 |
| SO#: | 24577 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Citizen: | UNITED STATES |
| Booking number: | 0304585 |
| Booking date: | Feb 18, 2003 |
| Release date: | Feb 18, 2003 |
| Booking location: | Salt Lake County, UT |
| Number: | 021911383 |
| Amount: | $2,500 |
| Number: | 021913408 |
| Amount: | $2,500 |
