| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 430612 |
| SO#: | 206225 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9519333 |
| Booking date: | Sep 11, 1995 |
| Release date: | Sep 11, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 951013799 |
| Amount: | $505 |