| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 375092 |
| SO#: | 184957 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9401922 |
| Booking date: | Jan 30, 1994 |
| Release date: | Feb 1, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 925008864 |
| Amount: | $1,500 |