| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 268301 |
| SO#: | 146793 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9405870 |
| Booking date: | Apr 1, 1994 |
| Release date: | Apr 1, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 921011164 |
| Amount: | $5,000 |