| Date of birth: | 1937 |
| State id: | 0146969 |
| SO#: | 119324 |
| Booked at: | SALT LAKE |
| Booking number: | 9624255 |
| Booking date: | Dec 5, 1996 |
| Release date: | Dec 5, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $350 |
| Number: | 920002145 |
| Amount: | $3,037 |
| Number: | 951000591 |
| Amount: | $3,000 |
| Number: | 96-03107 |
| Amount: | $740 |