| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 156870 |
| SO#: | 91687 |
| Booked at: | SALT LAKE |
| Cob: | DOMINICAN REPUBLIC |
| Booking number: | 9618493 |
| Booking date: | Sep 24, 1996 |
| Release date: | Sep 26, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 941011358FS |
| Amount: | $5,000 |
| Number: | 955040144 |
| Amount: | $500 |
