| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 0280822 |
| SO#: | 146024 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9704284 |
| Booking date: | Feb 21, 1997 |
| Release date: | Feb 21, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 965003116 |
| Amount: | $270 |