| Date of birth: | 1959 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 462091 |
| SO#: | 189630 |
| Booked at: | SALT LAKE |
| Booking number: | 9620101 |
| Booking date: | Oct 13, 1996 |
| Release date: | Oct 13, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $794 |
| Number: | 951012802 |
| Amount: | $505 |