| Date of birth: | 1939 |
| Hair: | Sandy |
| Eyes: | Green |
| State id: | 385642 |
| SO#: | 189118 |
| Booked at: | SALT LAKE |
| Cob: | Iowa |
| Booking number: | 9403946 |
| Booking date: | Mar 3, 1994 |
| Release date: | Apr 27, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 931007768FS |
| Amount: | $15,000 |