| Date of birth: | 1946 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 260817 |
| SO#: | 177856 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9414995 |
| Booking date: | Aug 14, 1994 |
| Release date: | Sep 12, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,000 |
| Number: | 941013354FS |
| Number: | 94-819 |