| Date of birth: | 1948 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 449333 |
| SO#: | 211960 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Booking number: | 9822687 |
| Booking date: | Sep 30, 1998 |
| Release date: | Oct 13, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,000 |
| Number: | 981920121FS |