| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 160726 |
| SO#: | 92779 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9625852 |
| Booking date: | Dec 26, 1996 |
| Release date: | Dec 26, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 20517021511 |
| Amount: | $282 |
| Number: | 965015661 |
| Amount: | $471 |