| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 429614 |
| SO#: | 205011 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9610998 |
| Booking date: | Jun 12, 1996 |
| Release date: | Sep 25, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,300 |
| Number: | 951022233 |
| Amount: | $1,000 |