| Date of birth: | 1945 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 369949 |
| SO#: | 157902 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9503877 |
| Booking date: | Feb 20, 1995 |
| Release date: | Mar 29, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 931003675 |
| Amount: | $1,070 |