| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 322228 |
| SO#: | 166306 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Booking number: | 9418393 |
| Booking date: | Sep 29, 1994 |
| Release date: | Oct 6, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 901002911 |
| Amount: | $300 |
| Number: | 92120188 |
| Amount: | $1,200 |
| Number: | 94-993 |