| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 364920 |
| SO#: | 181112 |
| Booked at: | SALT LAKE |
| Cob: | Virginia |
| Booking number: | 9424063 |
| Booking date: | Dec 21, 1994 |
| Release date: | Jan 3, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 352606 |
| Amount: | $1,000 |