| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 0415970 |
| SO#: | 209892 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Booking number: | 9604231 |
| Booking date: | Feb 22, 1996 |
| Release date: | Feb 25, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 911002016 |
| Amount: | $5,000 |