| Date of birth: | 1940 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 150510 |
| SO#: | 84353 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Booking number: | 9407328 |
| Booking date: | Apr 23, 1994 |
| Release date: | Apr 24, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 457-007 |
| Amount: | $505 |