| Date of birth: | 1947 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 364594 |
| SO#: | 180716 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9321606 |
| Booking date: | Dec 10, 1993 |
| Release date: | Jan 10, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 921013621 |
| Amount: | $750 |