| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 0389213 |
| SO#: | 190008 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9514858 |
| Booking date: | Jul 13, 1995 |
| Release date: | Jul 13, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 955000208 |
| Amount: | $264 |