| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 315261 |
| SO#: | 165512 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9623312 |
| Booking date: | Nov 23, 1996 |
| Release date: | Nov 23, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 931001040 |
| Amount: | $4,000 |
| Number: | 941004585 |
| Amount: | $2,000 |
