| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 0433986 |
| SO#: | 109747 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9713356 |
| Booking date: | Jun 13, 1997 |
| Release date: | Jun 20, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971010449 |
| Amount: | $200 |