| Date of birth: | 1946 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 364390 |
| SO#: | 199616 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9421840 |
| Booking date: | Nov 19, 1994 |
| Release date: | Nov 29, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 941-1428 |
| Number: | 925500803 |
| Amount: | $670 |
