| Date of birth: | 1948 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 248994 |
| SO#: | 138290 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Booking number: | 9405848 |
| Booking date: | Apr 1, 1994 |
| Release date: | Apr 11, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 912003427 |
| Amount: | $155 |
| Number: | 921001344 |
| Amount: | $460 |
| Amount: | $200 |