| Date of birth: | 1957 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 470951 |
| SO#: | 219784 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Booking number: | 9710871 |
| Booking date: | May 13, 1997 |
| Release date: | May 13, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971003580 |
| Amount: | $2,500 |