| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 373140 |
| SO#: | 180273 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Booking number: | 9513846 |
| Booking date: | Jun 28, 1995 |
| Release date: | Jul 5, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 95-686 |
| Number: | 951010883 |
| Amount: | $10,000 |