| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 343573 |
| SO#: | 171867 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Booking number: | 9614523 |
| Booking date: | Aug 7, 1996 |
| Release date: | Dec 13, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 961008653 |
| Amount: | $50,000 |