| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 433461 |
| SO#: | 205050 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Booking number: | 9817008 |
| Booking date: | Jul 25, 1998 |
| Release date: | Jul 27, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |
| Number: | 971010018 |
| Amount: | $124 |