| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 400999 |
| SO#: | 195484 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Booking number: | 9826600 |
| Booking date: | Nov 16, 1998 |
| Release date: | Nov 16, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 941600024 |
| Amount: | $1,000 |