| Date of birth: | 1949 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 0244788 |
| SO#: | 136261 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9616071 |
| Booking date: | Aug 25, 1996 |
| Release date: | Aug 25, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 96030168 |
| Amount: | $300 |