| Date of birth: | 1946 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 389167 |
| SO#: | 192574 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9321174 |
| Booking date: | Dec 3, 1993 |
| Release date: | Dec 9, 1993 |
| Booking location: | Salt Lake County, UT |
| Number: | 935024006 |
| Amount: | $2,500 |