| Date of birth: | 1933 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 501547 |
| SO#: | 53018 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9718005 |
| Booking date: | Aug 8, 1997 |
| Release date: | Aug 8, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971013074FS |
| Amount: | $5,000 |