| Date of birth: | 1962 |
| Hair: | Bald |
| Eyes: | Brown |
| State id: | 0425701 |
| SO#: | 210955 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9623152 |
| Booking date: | Nov 21, 1996 |
| Release date: | Nov 22, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 945027157 |
| Amount: | $1,000 |