| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 256279 |
| SO#: | 141319 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9405360 |
| Booking date: | Mar 24, 1994 |
| Release date: | Mar 30, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 85100896 |
| Amount: | $291 |