| Date of birth: | 1941 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 149783 |
| Booked at: | SALT LAKE |
| Booking number: | 9702393 |
| Booking date: | Jan 30, 1997 |
| Release date: | Jan 30, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 931000030 |
| Amount: | $1,250 |
| Number: | 942000069 |
| Amount: | $250 |