| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 335509 |
| SO#: | 180942 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9420864 |
| Booking date: | Nov 5, 1994 |
| Release date: | Nov 7, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 925010863 |
| Amount: | $2,500 |
| Number: | 942000622 |
| Amount: | $110 |