| Date of birth: | 1945 |
| Hair: | Red or auburn |
| Eyes: | Brown |
| State id: | 0338250 |
| SO#: | 170340 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9620182 |
| Booking date: | Oct 14, 1996 |
| Release date: | Oct 15, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 961000533 |
| Amount: | $2,500 |