| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 058643 |
| SO#: | 21207 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9320162 |
| Booking date: | Nov 15, 1993 |
| Release date: | Nov 24, 1993 |
| Booking location: | Salt Lake County, UT |
| Number: | 925020758 |
| Amount: | $505 |
| Number: | D651-241 |
| Amount: | $400 |