| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 357892 |
| SO#: | 177609 |
| Booked at: | SALT LAKE |
| Cob: | District of Columbia |
| Booking number: | 9319335 |
| Booking date: | Nov 1, 1993 |
| Release date: | Nov 1, 1993 |
| Booking location: | Salt Lake County, UT |
| Amount: | $400 |
| Number: | 932003005 |
| Amount: | $410 |