| Date of birth: | 1954 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 00452142 |
| SO#: | 213676 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9622208 |
| Booking date: | Nov 9, 1996 |
| Release date: | Dec 23, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 961019489 |
| Amount: | $1,505 |