| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 0248478 |
| SO#: | 145854 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9606024 |
| Booking date: | Mar 17, 1996 |
| Release date: | Mar 17, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 941000005 |
| Amount: | $505 |