| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 371326 |
| SO#: | 185645 |
| Booked at: | SALT LAKE |
| Cob: | Vermont |
| Booking number: | 9322223 |
| Booking date: | Dec 20, 1993 |
| Release date: | Jan 4, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 921009798 |
| Amount: | $575 |
| Number: | 921015195 |
| Amount: | $170 |