| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 502868 |
| SO#: | 223360 |
| Booked at: | SALT LAKE |
| Cob: | Iowa |
| Booking number: | 9722661 |
| Booking date: | Oct 5, 1997 |
| Release date: | Oct 9, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,200 |
| Number: | 971004445 |
| Amount: | $1,000 |
