| Date of birth: | 1952 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 407973 |
| SO#: | 196528 |
| Booked at: | SALT LAKE |
| Booking number: | 9419709 |
| Booking date: | Oct 20, 1994 |
| Release date: | Jan 25, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $200 |
| Number: | 941014838 FS |
| Amount: | $5,000 |
