| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0501438 |
| SO#: | 221800 |
| Booked at: | SALT LAKE |
| Booking number: | 9720920 |
| Booking date: | Sep 13, 1997 |
| Release date: | Sep 30, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $7,800 |
| Number: | 971017483 |
| Amount: | $1,500 |