| Date of birth: | 1929 |
| State id: | 432070 |
| SO#: | 205183 |
| Booked at: | SALT LAKE |
| Booking number: | 9621151 |
| Booking date: | Oct 27, 1996 |
| Release date: | Oct 28, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9516170 |
| Booking date: | Jul 31, 1995 |
| Release date: | Jul 31, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 951012582MS |
| Amount: | $3,547 |