| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 337010 |
| SO#: | 169488 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9814921 |
| Booking date: | Jun 30, 1998 |
| Release date: | Jun 30, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 961004395 |
| Amount: | $505 |