| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 158234 |
| SO#: | 90723 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9615732 |
| Booking date: | Aug 21, 1996 |
| Release date: | Aug 21, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 941002190 |
| Amount: | $500 |
| Number: | 941013128 |
| Amount: | $150 |
| Number: | 961013573 |
| Amount: | $300 |
