| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 110749 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9719941 |
| Booking date: | Sep 1, 1997 |
| Release date: | Sep 1, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 5-955000207 |
| Amount: | $445 |
| Number: | 955006558 |
| Amount: | $314 |