| Date of birth: | 1945 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 212626 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9613154 |
| Booking date: | Jul 20, 1996 |
| Release date: | Jul 21, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $400 |
| Number: | 951002765 |
| Amount: | $200 |