| Date of birth: | 1940 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 213791 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9616897 |
| Booking date: | Sep 5, 1996 |
| Release date: | Sep 5, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 955003872 |
| Amount: | $386 |
| Number: | 961007419 |
| Amount: | $5,000 |