| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 214749 |
| Housing section: | CD29 |
| Booked at: | SALT LAKE |
| Booking number: | 9619931 |
| Booking date: | Oct 11, 1996 |
| Release date: | Oct 12, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 941020348 |
| Amount: | $200 |
| Number: | 955012186 |
| Amount: | $300 |