| Date of birth: | 1946 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 200859 |
| SO#: | 116424 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9720875 |
| Booking date: | Sep 12, 1997 |
| Release date: | Sep 12, 1997 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9616915 |
| Booking date: | Sep 5, 1996 |
| Release date: | Sep 13, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100 |