| Date of birth: | 1940 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 459229 |
| SO#: | 219241 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9709033 |
| Booking date: | Apr 19, 1997 |
| Release date: | Apr 20, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $600 |
| Number: | 971001530 |
| Amount: | $505 |