| Date of birth: | 1956 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 356049 |
| SO#: | 177701 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9401688 |
| Booking date: | Jan 26, 1994 |
| Release date: | Feb 4, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 921003683 |
| Amount: | $500 |