| Date of birth: | 1932 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 291479 |
| SO#: | 154846 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9410952 |
| Booking date: | Jun 17, 1994 |
| Release date: | Jun 22, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 931015792 |
| Amount: | $50 |
| Number: | 941005149 |
| Amount: | $505 |