| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 221693 |
| SO#: | 125790 |
| Booked at: | SALT LAKE |
| Booking number: | 9623305 |
| Booking date: | Nov 22, 1996 |
| Release date: | Nov 24, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9611531 |
| Booking date: | Jun 23, 1996 |
| Release date: | Jun 23, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $757 |