| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 407959 |
| SO#: | 224004 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9724840 |
| Booking date: | Nov 3, 1997 |
| Release date: | Nov 3, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $610 |
| Number: | 961001119 |
| Amount: | $500 |