| Date of birth: | 1940 |
| Hair: | Sandy |
| Eyes: | Hazel |
| State id: | 123174 |
| SO#: | 64429 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9603307 |
| Booking date: | Feb 10, 1996 |
| Release date: | Feb 11, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $250 |
| Number: | 941016240 |
| Amount: | $505 |