| Date of birth: | 1944 |
| Hair: | Sandy |
| Eyes: | Blue |
| State id: | 170971 |
| SO#: | 100112 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9510944 |
| Booking date: | May 19, 1995 |
| Release date: | May 22, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 931002176 |
| Amount: | $700 |