| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 438801 |
| SO#: | 216530 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Booking number: | 9625816 |
| Booking date: | Dec 25, 1996 |
| Release date: | Dec 25, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $300 |
| Number: | 955040030 |
| Amount: | $2,000 |
