| Date of birth: | 1944 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 341945 |
| SO#: | 223177 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9722039 |
| Booking date: | Sep 28, 1997 |
| Release date: | Sep 30, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 935002510 |
| Amount: | $5,000 |