| Date of birth: | 1960 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 412125 |
| SO#: | 204465 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9513729 |
| Booking date: | Jun 26, 1995 |
| Release date: | Jun 27, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | D673-002 |
| Amount: | $470 |