| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 463632 |
| SO#: | 215717 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9623065 |
| Booking date: | Nov 20, 1996 |
| Release date: | Apr 11, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,000 |
| Number: | 961024446FS |