| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 213987 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Booking number: | 9617529 |
| Booking date: | Sep 13, 1996 |
| Release date: | Sep 13, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 961003648 |
| Amount: | $370 |
| Number: | 961007606 |
| Amount: | $145 |
| Number: | 961007623 |
| Amount: | $1,000 |
