| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 357812 |
| SO#: | 177635 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9414793 |
| Booking date: | Aug 11, 1994 |
| Release date: | Sep 2, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 921001638 |
| Amount: | $700 |