| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0500968 |
| SO#: | 221247 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9720616 |
| Booking date: | Sep 9, 1997 |
| Release date: | Nov 23, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $150 |
| Number: | 97090121 |
| Amount: | $555 |