| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 289960 |
| SO#: | 195989 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9410105 |
| Booking date: | Jun 4, 1994 |
| Release date: | Jun 5, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 935009834 |
| Amount: | $1,005 |