| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 470299 |
| SO#: | 219278 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Booking number: | 9709136 |
| Booking date: | Apr 21, 1997 |
| Release date: | Apr 21, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971002970FS |
| Amount: | $30,000 |