| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 150888 |
| SO#: | 75598 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9702722 |
| Booking date: | Feb 3, 1997 |
| Release date: | Feb 3, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 871002702 |
| Amount: | $485 |
| Number: | 961011994 |
| Amount: | $1,500 |