| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0377376 |
| SO#: | 179565 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9616917 |
| Booking date: | Sep 5, 1996 |
| Release date: | Sep 10, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9615747 |
| Booking date: | Aug 21, 1996 |
| Release date: | Aug 21, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 4-954004337 |
| Amount: | $600 |