| Date of birth: | 1942 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 0175372 |
| SO#: | 103004 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 9609202 |
| Booking date: | May 7, 1996 |
| Release date: | May 7, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9523397 |
| Booking date: | Nov 4, 1995 |
| Release date: | Nov 4, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $650 |
| Number: | 961006259 |
| Amount: | $5,000 |
