| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 137628 |
| SO#: | 151305 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9615750 |
| Booking date: | Aug 21, 1996 |
| Release date: | Aug 22, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 941003722 |
| Amount: | $3,000 |
| Number: | 95-07869 |
| Amount: | $625 |