| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 441406 |
| SO#: | 218148 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 9705016 |
| Booking date: | Mar 2, 1997 |
| Release date: | Mar 4, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $647 |
| Number: | 961005435 |
| Amount: | $226 |