| Date of birth: | 1937 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 183538 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9322786 |
| Booking date: | Dec 31, 1993 |
| Release date: | Jan 25, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 921014614 |
| Amount: | $150 |