| Date of birth: | 1938 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 268960 |
| SO#: | 147153 |
| Booked at: | SALT LAKE |
| Booking number: | 9420279 |
| Booking date: | Oct 28, 1994 |
| Release date: | Nov 9, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 941018721MS |
| Amount: | $2,500 |
