| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 0419038 |
| SO#: | 201601 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Booking number: | 9623775 |
| Booking date: | Nov 28, 1996 |
| Release date: | Dec 18, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,500 |
| Number: | 945037226 |
| Amount: | $2,505 |
| Number: | 961006485 |
| Amount: | $1,070 |
