| Date of birth: | 1937 |
| Hair: | Blonde |
| Eyes: | Brown |
| SO#: | 203623 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9510913 |
| Booking date: | May 19, 1995 |
| Release date: | May 19, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 203953001600 |
| Amount: | $160 |