| Date of birth: | 1960 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 0404260 |
| SO#: | 208833 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9600552 |
| Booking date: | Jan 7, 1996 |
| Release date: | Jan 10, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 203953004174 |
| Amount: | $500 |
| Number: | 941000905 |