| Date of birth: | 1956 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 186558 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Booking number: | 9618030 |
| Booking date: | Sep 19, 1996 |
| Release date: | Sep 19, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 912033546 |
| Amount: | $270 |
| Number: | 925016816 |
| Amount: | $500 |