| Date of birth: | 1939 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 327679 |
| SO#: | 178526 |
| Booked at: | SALT LAKE |
| Booking number: | 9610141 |
| Booking date: | May 25, 1996 |
| Release date: | May 26, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9609481 |
| Booking date: | May 13, 1996 |
| Release date: | May 13, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $600 |
| Amount: | $500 |