| Date of birth: | 1941 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 211240 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9608808 |
| Booking date: | Apr 29, 1996 |
| Release date: | Apr 29, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 951025233FS |
| Amount: | $15,000 |