| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 451549 |
| SO#: | 231893 |
| Booked at: | SALT LAKE |
| Cob: | New Hampshire |
| Booking number: | 9823214 |
| Booking date: | Oct 6, 1998 |
| Release date: | Oct 7, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 960089878 |
| Amount: | $1,045 |