| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 252397 |
| SO#: | 139823 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9607281 |
| Booking date: | Apr 3, 1996 |
| Release date: | May 24, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 935000298 |
| Amount: | $1,457 |