| Date of birth: | 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 248279 |
| SO#: | 137870 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9510297 |
| Booking date: | May 11, 1995 |
| Release date: | Dec 13, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,000 |
| Number: | 941900606FS |