| Date of birth: | 1945 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 0316012 |
| SO#: | 205349 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9516770 |
| Booking date: | Aug 8, 1995 |
| Release date: | Aug 10, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $150 |
| Number: | M00723 |