| Date of birth: | 1957 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 415512 |
| SO#: | 201790 |
| Booked at: | SALT LAKE |
| Cob: | Delaware |
| Booking number: | 9504329 |
| Booking date: | Feb 26, 1995 |
| Release date: | Feb 28, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100 |
| Number: | 941500794 |
| Amount: | $320 |