| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 156547 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9502232 |
| Booking date: | Jan 30, 1995 |
| Release date: | Jan 30, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 935003137 |
| Amount: | $195 |
| Number: | 935005453 |
| Amount: | $410 |