| Date of birth: | 1935 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 175185 |
| SO#: | 102855 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 9624675 |
| Booking date: | Dec 10, 1996 |
| Release date: | Dec 11, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 935031169 |
| Amount: | $195 |
| Number: | 955015995 |
| Amount: | $1,000 |
| Number: | 961000366 |
| Amount: | $800 |