| Date of birth: | 1940 |
| State id: | 228454 |
| SO#: | 128789 |
| Booked at: | SALT LAKE |
| Booking number: | 9621152 |
| Booking date: | Oct 27, 1996 |
| Release date: | Oct 31, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 2-962004380 |
| Amount: | $120 |
| Number: | 955003721 |
| Amount: | $995 |
