| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 0432878 |
| SO#: | 211237 |
| Booked at: | SALT LAKE |
| Cob: | PAPUA NEW GUINEA |
| Booking number: | 9608794 |
| Booking date: | Apr 29, 1996 |
| Release date: | May 10, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $957 |
| Number: | 951016193 |
| Amount: | $2,500 |