| Date of birth: | 1939 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 180943 |
| SO#: | 106010 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9610267 |
| Booking date: | May 29, 1996 |
| Release date: | Jun 5, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9604599 |
| Booking date: | Feb 27, 1996 |
| Release date: | Feb 27, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9526416 |
| Booking date: | Dec 17, 1995 |
| Release date: | Dec 17, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $600 |
| Number: | 961002793MS |