| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 461614 |
| SO#: | 214706 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Booking number: | 9619791 |
| Booking date: | Oct 10, 1996 |
| Release date: | Oct 25, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,800 |
| Number: | 961021894MS |
| Amount: | $2,500 |
