| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0414514 |
| SO#: | 193748 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9717871 |
| Booking date: | Aug 7, 1997 |
| Release date: | Aug 29, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 941901698FS |
| Number: | 96-11173 |
| Amount: | $475 |