| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 464211 |
| SO#: | 216177 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Booking number: | 9624652 |
| Booking date: | Dec 10, 1996 |
| Release date: | Dec 10, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 951010751 |
| Amount: | $10,000 |