| Date of birth: | 1942 |
| Hair: | Sandy |
| Eyes: | Brown |
| SO#: | 197170 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9413856 |
| Booking date: | Jul 29, 1994 |
| Release date: | Jul 31, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 2-1852-117AB |
| Amount: | $160 |
| Number: | 931013850FS |
| Amount: | $25,000 |