| Date of birth: | 1931 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0323572 |
| SO#: | 223423 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9725403 |
| Booking date: | Nov 9, 1997 |
| Release date: | Dec 9, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,200 |
| Number: | 971020795FS |
| Amount: | $5,000 |
