| Date of birth: | 1938 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 210731 |
| Booked at: | SALT LAKE |
| Cob: | New Jersey |
| Booking number: | 9607048 |
| Booking date: | Mar 31, 1996 |
| Release date: | Mar 31, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 961002072 |
| Amount: | $2,000 |