| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 178090 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9610817 |
| Booking date: | Jun 8, 1996 |
| Release date: | Jun 28, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 941001311 |
| Amount: | $505 |
| Number: | 941901244FS |