| Date of birth: | 1938 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 338160 |
| SO#: | 170091 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9701904 |
| Booking date: | Jan 24, 1997 |
| Release date: | Jan 26, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $800 |
| Number: | 961022225 |
| Amount: | $199 |