| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 466830 |
| SO#: | 217621 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9727766 |
| Booking date: | Dec 10, 1997 |
| Release date: | Dec 10, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 961004165 |
| Amount: | $4,000 |