| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 419205 |
| SO#: | 179810 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9707430 |
| Booking date: | Apr 1, 1997 |
| Release date: | May 9, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,857 |
| Number: | 971005766MS |
| Amount: | $2,500 |