| Date of birth: | 1957 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | SE REMARKS |
| SO#: | 215737 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 9623172 |
| Booking date: | Nov 21, 1996 |
| Release date: | Nov 22, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 93-0025 |
| Amount: | $625 |