| Date of birth: | 1944 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 269185 |
| SO#: | 143318 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9807478 |
| Booking date: | Mar 29, 1998 |
| Release date: | Mar 29, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 981100166 |
| Amount: | $1,500 |