| Date of birth: | 1951 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 391262 |
| SO#: | 190708 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9415035 |
| Booking date: | Aug 15, 1994 |
| Release date: | Aug 17, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $450 |
| Number: | 931002968 |
| Amount: | $270 |