| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 388756 |
| SO#: | 186771 |
| Booked at: | SALT LAKE |
| Cob: | New Jersey |
| Booking number: | 9405905 |
| Booking date: | Apr 1, 1994 |
| Release date: | Apr 8, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 935018422TC |
| Amount: | $1,505 |