| Date of birth: | 1948 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 243571 |
| SO#: | 135777 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9411818 |
| Booking date: | Jun 29, 1994 |
| Release date: | Jul 8, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $300 |
| Number: | 851012400 |
| Amount: | $2,500 |