| Date of birth: | 1928 |
| Hair: | Sandy |
| Eyes: | Brown |
| State id: | 320074 |
| SO#: | 164373 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Booking number: | 9322265 |
| Booking date: | Dec 21, 1993 |
| Release date: | Jan 11, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 891006746FS |
| Amount: | $2,500 |