| Date of birth: | 1942 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 331929 |
| SO#: | 101324 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9413294 |
| Booking date: | Jul 21, 1994 |
| Release date: | Aug 10, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 945013439 |
| Amount: | $2,575 |