| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 364552 |
| SO#: | 180870 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9508503 |
| Booking date: | Apr 18, 1995 |
| Release date: | Apr 28, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 921003107 |
| Amount: | $220 |
| Number: | 931900525FS |