| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Gray |
| State id: | 181801 |
| SO#: | 107173 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9726840 |
| Booking date: | Nov 27, 1997 |
| Release date: | Nov 29, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,100 |
| Number: | 203953002489 |
| Amount: | $1,505 |