| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 0279706 |
| SO#: | 94040 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Booking number: | 9511976 |
| Booking date: | Jun 2, 1995 |
| Release date: | Jun 3, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $550 |
| Number: | 860071517 |
| Amount: | $505 |