| Date of birth: | 1958 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 407771 |
| SO#: | 206653 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9520696 |
| Booking date: | Sep 29, 1995 |
| Release date: | Oct 2, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 941001756 |
| Amount: | $689 |