| Date of birth: | 1937 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 466921 |
| SO#: | 224967 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9727847 |
| Booking date: | Dec 11, 1997 |
| Release date: | Dec 11, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 975013754 |
| Amount: | $1,452 |