| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 244708 |
| SO#: | 105951 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 9320244 |
| Booking date: | Nov 16, 1993 |
| Release date: | Nov 21, 1993 |
| Booking location: | Salt Lake County, UT |
| Number: | 860013551 |
| Amount: | $600 |
| Number: | 882023596 |
| Amount: | $500 |