| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 470536 |
| SO#: | 219039 |
| Booked at: | SALT LAKE |
| Cob: | Maine |
| Booking number: | 9708301 |
| Booking date: | Apr 11, 1997 |
| Release date: | Apr 28, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,600 |
| Number: | 971006583 |
| Amount: | $2,500 |