| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 154467 |
| SO#: | 87376 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9707999 |
| Booking date: | Apr 7, 1997 |
| Release date: | Apr 21, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 921901751 |
| Number: | 931003225 |
| Amount: | $2,500 |