| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 0429992 |
| SO#: | 204511 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Booking number: | 9525671 |
| Booking date: | Dec 7, 1995 |
| Release date: | Feb 1, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $3,000 |
| Number: | 951014377 |
| Amount: | $505 |
| Number: | 951022777 |
| Amount: | $1,000 |
| Number: | 951024275FS |
| Amount: | $1,500 |
