| Date of birth: | 1949 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 292038 |
| SO#: | 156217 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9500028 |
| Booking date: | Jan 1, 1995 |
| Release date: | Jan 3, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 20420590063 |
| Amount: | $2,005 |