| Date of birth: | 1939 |
| Hair: | Sandy |
| Eyes: | Hazel |
| State id: | 309054 |
| SO#: | 163651 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9404790 |
| Booking date: | Mar 15, 1994 |
| Release date: | Mar 29, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 931004189 |