| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 135548 |
| SO#: | 73595 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9718004 |
| Booking date: | Aug 8, 1997 |
| Release date: | Aug 8, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971000521 |
| Amount: | $1,500 |