| Date of birth: | 1951 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 421409 |
| SO#: | 203050 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9728053 |
| Booking date: | Dec 14, 1997 |
| Release date: | Dec 23, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Number: | 965700002 |
| Amount: | $1,500 |
