| Date of birth: | 1960 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 398196 |
| SO#: | 193179 |
| Booked at: | SALT LAKE |
| Cob: | Iowa |
| Booking number: | 9611867 |
| Booking date: | Jun 29, 1996 |
| Release date: | Jun 29, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 960008997 |
| Amount: | $2,540 |