| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 502065 |
| SO#: | 222455 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 9725091 |
| Booking date: | Nov 6, 1997 |
| Release date: | Nov 6, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 971001924 |
| Amount: | $2,500 |