| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 325738 |
| SO#: | 172073 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Booking number: | 9621897 |
| Booking date: | Nov 5, 1996 |
| Release date: | Dec 25, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9615255 |
| Booking date: | Aug 15, 1996 |
| Release date: | Sep 3, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 961014827FS |
| Amount: | $5,000 |