| Date of birth: | 1956 |
| Hair: | Blonde |
| Eyes: | Green |
| State id: | 463418 |
| SO#: | 215284 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9621643 |
| Booking date: | Nov 2, 1996 |
| Release date: | Nov 3, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $6,047 |
| Number: | 95060106 |
| Amount: | $250 |