| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 505030 |
| SO#: | 225650 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9800753 |
| Booking date: | Jan 10, 1998 |
| Release date: | Jan 13, 1998 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,047 |
| Number: | 960088180 |
| Amount: | $305 |