| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 259241 |
| SO#: | 136548 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9622722 |
| Booking date: | Nov 16, 1996 |
| Release date: | Nov 16, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 20422420182 |
| Amount: | $200 |
| Number: | 901014044 |
| Amount: | $5,000 |