| Date of birth: | 1944 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 162030 |
| SO#: | 93589 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9722732 |
| Booking date: | Oct 6, 1997 |
| Release date: | Oct 6, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 975019210 |
| Amount: | $377 |