| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 465581 |
| SO#: | 216746 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9700210 |
| Booking date: | Jan 3, 1997 |
| Release date: | Jan 15, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 965031472 |
| Amount: | $1,000 |