| Date of birth: | 1946 |
| State id: | 253908 |
| SO#: | 132785 |
| Booked at: | SALT LAKE |
| Booking number: | 9520885 |
| Booking date: | Oct 1, 1995 |
| Release date: | Oct 18, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $450 |
| Number: | 3 3344 |
| Amount: | $470 |
| Number: | 912000211 |
| Amount: | $300 |
| Number: | NA |
