| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 206361 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9519819 |
| Booking date: | Sep 18, 1995 |
| Release date: | Sep 19, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $900 |
| Number: | 921004225 |
| Amount: | $172 |