| Date of birth: | 1947 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 174173 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9516735 |
| Booking date: | Aug 7, 1995 |
| Release date: | Aug 9, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $3,500 |
| Number: | 941002673 |
| Amount: | $270 |