| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 273367 |
| SO#: | 148965 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9415564 |
| Booking date: | Aug 22, 1994 |
| Release date: | Aug 29, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Number: | 941011218 |