| Date of birth: | 1942 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 151817 |
| SO#: | 76405 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9618499 |
| Booking date: | Sep 24, 1996 |
| Release date: | Sep 25, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 94-1016837FS |
| Amount: | $10,000 |