| Date of birth: | 1947 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 187911 |
| SO#: | 110273 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9722520 |
| Booking date: | Oct 3, 1997 |
| Release date: | Oct 8, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,000 |
| Number: | D628218 |
| Amount: | $202 |