| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 201242 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9502685 |
| Booking date: | Feb 4, 1995 |
| Release date: | Feb 4, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,040 |
| Number: | 935010960 |
| Amount: | $170 |