| Date of birth: | 1950 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 278489 |
| SO#: | 151432 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9617094 |
| Booking date: | Sep 7, 1996 |
| Release date: | Sep 7, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $600 |
| Number: | 935001329 |
| Amount: | $575 |
| Number: | H072/169 |
| Amount: | $100 |
