| Date of birth: | 1937 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 202054 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9505219 |
| Booking date: | Mar 9, 1995 |
| Release date: | Mar 31, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $250 |
| Number: | 951004413FS |
| Amount: | $5,000 |