| Date of birth: | 1948 |
| Hair: | Sandy |
| Eyes: | Hazel |
| State id: | 503515 |
| SO#: | 136632 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9724711 |
| Booking date: | Nov 1, 1997 |
| Release date: | Nov 1, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 921000665 |
| Amount: | $1,200 |