| Date of birth: | 1937 |
| State id: | 108149 |
| SO#: | 52279 |
| Booked at: | SALT LAKE |
| Booking number: | 9705998 |
| Booking date: | Mar 14, 1997 |
| Release date: | Mar 14, 1997 |
| Booking location: | Salt Lake County, UT |
| Booking location: | Salt Lake County, UT |
| Number: | 923016059 |
| Amount: | $200 |
| Number: | 925018794 |
| Amount: | $200 |