| Date of birth: | 1939 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 500366 |
| SO#: | 220577 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9713639 |
| Booking date: | Jun 17, 1997 |
| Release date: | Jul 1, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 961019304FS |
| Amount: | $5,000 |
