| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 364513 |
| SO#: | 169172 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9423056 |
| Booking date: | Dec 7, 1994 |
| Release date: | Dec 27, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |
| Number: | 912041465 |
| Amount: | $500 |
| Number: | 925010864 |
| Amount: | $1,075 |
| Number: | 945027846 |
| Amount: | $1,000 |
