| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 271419 |
| SO#: | 222738 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 9720626 |
| Booking date: | Sep 9, 1997 |
| Release date: | Sep 12, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $20,000 |
| Number: | 961004938 |
| Amount: | $460 |
