| Date of birth: | 1942 |
| Hair: | Blonde |
| Eyes: | Brown |
| State id: | 253673 |
| SO#: | 140324 |
| Booked at: | SALT LAKE |
| Cob: | Maine |
| Booking number: | 9421938 |
| Booking date: | Nov 21, 1994 |
| Release date: | Dec 7, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Number: | 944005076 |
| Amount: | $2,005 |