| Date of birth: | 1945 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 306836 |
| SO#: | 160902 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9715711 |
| Booking date: | Jul 12, 1997 |
| Release date: | Jul 12, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | CR95-0304 |
| Amount: | $505 |