| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 262452 |
| SO#: | 144258 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Booking number: | 9418822 |
| Booking date: | Oct 6, 1994 |
| Release date: | Oct 7, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 935011771 |
| Amount: | $490 |
| Number: | 94-570 |