| Date of birth: | 1939 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 437864 |
| SO#: | 58717 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9605175 |
| Booking date: | Mar 6, 1996 |
| Release date: | May 19, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $300 |
| Number: | 951021325 |
| Amount: | $2,500 |
| Number: | 951022853 |
| Amount: | $505 |