| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 316661 |
| SO#: | 163867 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9714311 |
| Booking date: | Jun 25, 1997 |
| Release date: | Jun 25, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 951020760FS |
| Amount: | $10,000 |