| Date of birth: | 1939 |
| Hair: | Sandy |
| Eyes: | Hazel |
| State id: | 0436796 |
| SO#: | 191306 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9708244 |
| Booking date: | Apr 10, 1997 |
| Release date: | Apr 10, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100 |
| Number: | 951000623 |
| Amount: | $2,070 |