| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 385102 |
| SO#: | 188400 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9701709 |
| Booking date: | Jan 22, 1997 |
| Release date: | Jan 22, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 955025903 |
| Amount: | $2,070 |