| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 189190 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9526767 |
| Booking date: | Dec 21, 1995 |
| Release date: | Dec 22, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 931000664 |
| Amount: | $1,005 |
| Number: | 951000749 |
| Amount: | $307 |