| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 196789 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 9412695 |
| Booking date: | Jul 13, 1994 |
| Release date: | Aug 8, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100 |
| Amount: | $1,040 |
| Number: | 945022369 |
