| Date of birth: | 1932 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 255389 |
| SO#: | 141741 |
| Booked at: | SALT LAKE |
| Cob: | Massachusetts |
| Booking number: | 9400527 |
| Booking date: | Jan 8, 1994 |
| Release date: | Feb 9, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100 |
| Number: | 78336 |
| Amount: | $1,440 |
| Number: | 941000469 |
| Amount: | $3,000 |