| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 355650 |
| SO#: | 176635 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Booking number: | 9620746 |
| Booking date: | Oct 22, 1996 |
| Release date: | Nov 21, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 911015147FS |
| Amount: | $2,000 |
| Number: | 912043071 |
| Amount: | $1,170 |
| Number: | 941015864 |
| Amount: | $2,500 |