| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 344242 |
| SO#: | 181646 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9420517 |
| Booking date: | Oct 31, 1994 |
| Release date: | Dec 2, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 92-1005448FS |
| Amount: | $2,570 |