| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 368620 |
| SO#: | 162937 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Booking number: | 9711671 |
| Booking date: | May 23, 1997 |
| Release date: | May 23, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $450 |
| Number: | 971003370 |
| Amount: | $1,000 |
