| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 503305 |
| SO#: | 223864 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9724422 |
| Booking date: | Oct 29, 1997 |
| Release date: | Oct 29, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971017787 |
| Amount: | $5,000 |