| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 275523 |
| SO#: | 149912 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9404112 |
| Booking date: | Mar 6, 1994 |
| Release date: | Mar 6, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 931000096 |
| Amount: | $170 |