| Date of birth: | 1944 |
| State id: | 221783 |
| SO#: | 149938 |
| Booked at: | SALT LAKE |
| Booking number: | 9524753 |
| Booking date: | Nov 24, 1995 |
| Release date: | Nov 24, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 951003396 |
| Amount: | $2,000 |
| Number: | 951003403 |
| Amount: | $1,000 |