| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 308707 |
| SO#: | 161502 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9501741 |
| Booking date: | Jan 23, 1995 |
| Release date: | Mar 24, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 921010258 |
| Amount: | $320 |