| Date of birth: | 1946 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 406036 |
| SO#: | 195681 |
| Booked at: | SALT LAKE |
| Cob: | Maine |
| Booking number: | 9424571 |
| Booking date: | Dec 28, 1994 |
| Release date: | Mar 13, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 941016667 |
| Amount: | $5,000 |
| Number: | 941900970FS |