| Date of birth: | 1938 |
| Hair: | Brown |
| Eyes: | Gray |
| State id: | 168558 |
| SO#: | 96301 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 9610198 |
| Booking date: | May 27, 1996 |
| Release date: | Jun 3, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 961007321 |
| Amount: | $1,500 |
| Number: | W9220732142 |
| Number: | W925678101 |