| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 159924 |
| SO#: | 92067 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9520440 |
| Booking date: | Sep 26, 1995 |
| Release date: | Sep 26, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 951018183FS |
| Amount: | $5,000 |