| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 349411 |
| SO#: | 174336 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9404890 |
| Booking date: | Mar 17, 1994 |
| Release date: | Aug 19, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 911900890 |
| Number: | 931003235 |
| Amount: | $270 |