| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 207571 |
| SO#: | 119594 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9406311 |
| Booking date: | Apr 8, 1994 |
| Release date: | Apr 9, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 94010007 |
| Amount: | $505 |