| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 244195 |
| SO#: | 217429 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9702504 |
| Booking date: | Jan 31, 1997 |
| Release date: | Feb 6, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $7,500 |
| Number: | 97-0128 |