| Date of birth: | 1939 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 298276 |
| SO#: | 156289 |
| Booked at: | SALT LAKE |
| Cob: | Oklahoma |
| Booking number: | 9400679 |
| Booking date: | Jan 11, 1994 |
| Release date: | Jan 11, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 932002864 |
| Amount: | $420 |
| Number: | NA |