| Date of birth: | 1942 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 366041 |
| SO#: | 181351 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9424218 |
| Booking date: | Dec 23, 1994 |
| Release date: | Dec 23, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 921004759 |
| Amount: | $505 |