| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 398958 |
| SO#: | 219136 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9708650 |
| Booking date: | Apr 15, 1997 |
| Release date: | Apr 15, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 931004378MC |
| Amount: | $1,070 |