| Date of birth: | 1935 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 124922 |
| SO#: | 112339 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9518196 |
| Booking date: | Aug 27, 1995 |
| Release date: | Aug 28, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 951005154FS |
| Amount: | $2,500 |