| Date of birth: | 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 380270 |
| SO#: | 186710 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9509463 |
| Booking date: | May 1, 1995 |
| Release date: | May 1, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 93120063 |
| Amount: | $1,000 |