| Date of birth: | 1941 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 180034 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9411285 |
| Booking date: | Jun 21, 1994 |
| Release date: | Jun 21, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 3-1872 |
| Amount: | $381 |
| Number: | 925006627TC |
| Amount: | $1,075 |