| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 255089 |
| SO#: | 151445 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9416291 |
| Booking date: | Sep 1, 1994 |
| Release date: | Sep 6, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 925005017 |
| Amount: | $505 |
| Number: | 94-791 |