| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 358981 |
| SO#: | 196049 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9418436 |
| Booking date: | Sep 30, 1994 |
| Release date: | Oct 11, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 941008477 |
| Amount: | $500 |
| Number: | 941010266 |
| Amount: | $505 |