| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 0456497 |
| SO#: | 229101 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9813382 |
| Booking date: | Jun 10, 1998 |
| Release date: | Jun 10, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 961003109 |
| Amount: | $1,000 |