| Date of birth: | 1937 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 389424 |
| SO#: | 190927 |
| Booked at: | SALT LAKE |
| Cob: | New Jersey |
| Booking number: | 9404286 |
| Booking date: | Mar 8, 1994 |
| Release date: | Mar 13, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 941001838 |
| Amount: | $505 |