| Date of birth: | 1950 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 324109 |
| SO#: | 187760 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9625118 |
| Booking date: | Dec 16, 1996 |
| Release date: | Dec 16, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Number: | 945018585 |
| Amount: | $246 |