| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 469602 |
| SO#: | 218884 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Booking number: | 9710982 |
| Booking date: | May 14, 1997 |
| Release date: | May 14, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971006017 |
| Amount: | $2,500 |