| Date of birth: | 1947 |
| State id: | 196660 |
| SO#: | 111474 |
| Booked at: | SALT LAKE |
| Booking number: | 9622988 |
| Booking date: | Nov 19, 1996 |
| Release date: | Feb 28, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 951014385FS |
| Number: | 971000041 |
| Amount: | $1,250 |